Individual
DR. DALE STEVEN BRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM, FACFAS
Contact information
Practice address
401 E 162ND ST STE 101, SOUTH HOLLAND, IL 60473-2237
(708) 596-3757
(708) 596-3779
Mailing address
401 E 162ND ST STE 101, SOUTH HOLLAND, IL 60473-2237
(708) 596-3757
(708) 596-3779
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-004747
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004747
—
IL
Enumeration date
08/01/2006
Last updated
12/02/2009
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