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
363A00000X
Physician Assistant
Primary
085004797
IL
363AS0400X
Surgical Physician Assistant
0110004653
VA
363AS0400X
Surgical Physician Assistant
146680
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336425560
—
VA
Enumeration date
11/02/2011
Last updated
06/01/2026
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