Individual
DANIEL ROBERT WAHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
908 N ELM ST STE 110, HINSDALE, IL 60521-2600
(630) 986-8770
(630) 986-8776
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-171744
IL
2084N0400X
Neurology Physician
125-078946
IL
2084N0400X
Neurology Physician
4301514850
MI
Other
Enumeration date
04/17/2021
Last updated
10/02/2025
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