Individual
DR. JEFFREY RICHARD DAHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1109 S LINCOLN AVE, URBANA, IL 61801-4703
(217) 333-2700
Mailing address
1109 S LINCOLN AVE, URBANA, IL 61801-4703
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.167523
IL
207P00000X
Emergency Medicine Physician
52429
MN
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
52429
MN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
036.167523
IL
Other
Enumeration date
09/03/2008
Last updated
12/21/2023
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