Austhof, Ethan
Austhof, Ethan is an individual health care provider with primary practice located at 5841 S. Maryland Ave , Chicago IL 60637-4502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Austhof, Ethan can be contacted via phone (773) 702-3550.Contact Information
Primary practice address
5841 S. Maryland Ave
Chicago IL 60637-4502
Phone: (773) 702-3550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4351049341 | Michigan |
Profile Details
| NPI number | 1710628730 |
|---|---|
| LBN Legal business name | Austhof, Ethan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2022 |
| Last updated | Jun 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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