Organization
NORTHWEST GENERAL SURGEONS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL L DAHLINGHAUS MD (PRESIDENT)
(773) 631-9699
Entity
Organization
Contact information
Practice address
7447 W TALCOTT, SUITE 427, CHICAGO, IL 60631-3745
(773) 631-9699
(773) 631-4299
Mailing address
7447 W TALCOTT, SUITE 427, CHICAGO, IL 60631-3745
(773) 631-9699
(773) 631-4299
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81618523
BLUE SHIELD
IL
Enumeration date
03/28/2007
Last updated
08/22/2020
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