Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Ralls, PA

Individual provider Physician Assistant · NPI 1588949861

Daniel Ralls, PA is a Physician Assistant in Carbondale, Illinois. Works from 3 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

405 W Jackson St
Carbondale, IL 62901-1462
Phone: (866) 916-5259
Fax: (231) 922-4030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 201 S 14th St, Herrin, IL 62948-3631 — (618) 942-2171
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 — (618) 684-3156

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085004204 (IL)

Record details

NPI number1588949861
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 18, 2011
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021
Mailing addressPo Box 3988, Carbondale, IL 62902-3988

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