Ettleson, Matthew

Ettleson, Matthew is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave # Mc1027 , Chicago IL 60637-1443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Ettleson, Matthew can be contacted via phone (773) 702-6227.

Contact Information

Primary practice address
5841 S Maryland Ave # Mc1027 Chicago IL 60637-1443
Phone: (773) 702-6227
Fax: (773) 834-0486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036148504 Illinois

Profile Details

NPI number 1487043170
LBN Legal business name Ettleson, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2015
Last updated Jun 16th, 2019 - about 5 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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