Individual
DANIEL L CARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12251 S 80TH AVE STE 1520, PALOS HEIGHTS, IL 60463-1290
(708) 923-4200
(708) 923-4201
Mailing address
12251 S 80TH AVE STE 1520, PALOS HEIGHTS, IL 60463-1290
(708) 923-4200
(708) 923-4201
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
0110004653
VA
363AS0400X
Surgical Physician Assistant
Primary
146680
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336425560
—
VA
Enumeration date
11/02/2011
Last updated
03/18/2026
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