Healthcare Provider Details

I. General information

NPI: 1558996744
Provider Name (Legal Business Name): ALWIN DAVID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2020
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10330 S ROBERTS RD
PALOS HILLS IL
60465-1971
US

IV. Provider business mailing address

10330 S ROBERTS RD
PALOS HILLS IL
60465-1971
US

V. Phone/Fax

Practice location:
  • Phone: 708-237-7200
  • Fax: 708-237-7201
Mailing address:
  • Phone: 708-237-7200
  • Fax: 708-237-7201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number35.153196
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: