Ethan Michael Meisel M.D.

NPI 1013029511 - Emergency Medicine - 207P00000X

NPI Details
NPI 1013029511
Gender Male
Enumeration Date 08/31/2006
Last Updated 05/20/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
211 E ONTARIO ST
SUITE 925
CHICAGO IL, 60611-3468, US
Phone (312) 573-0614
Fax (312) 573-0694
Business Location
2001 BUTTERFIELD RD
SUITE 300
DOWNERS GROVE IL, 60515-1050, US
Phone (630) 725-2832
Fax (877) 489-5993
Toxanomy
Taxonomy Code 207P00000X
License State Georgia
License Number H95343
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According to our database, Ethan Michael Meisel M.D. NPI is 1013029511, taxonomy code is 207P00000X and license number is H95343, license state is located at Georgia. Ethan Michael Meisel M.D. physically located at 211 E Ontario St, Chicago IL, 60611-3468. NPI Number Ethan Michael Meisel M.D. has the Individual type.

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1013029511 NPI number is provided on an as is basis without warranty of any kind. 1013029511 is maintained by the National Plan & Provider Enumeration System. The contents of Ethan Michael Meisel M.D. are for informational purposes only.