Segal, Ethan Lewis

Segal, Ethan Lewis is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave Macguire Center Suite 2700, Maywood IL 60153-3328. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Segal, Ethan Lewis can be contacted via phone (708) 216-8066.

Contact Information

Primary practice address
2160 S 1St Ave Macguire Center Suite 2700 Maywood IL 60153-3328
Phone: (708) 216-8066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1932427036
LBN Legal business name Segal, Ethan Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2010
Last updated May 13th, 2010 - about 14 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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