Whitaker, Ethan M

Whitaker, Ethan M is an individual health care provider with primary practice located at 28156 W Northpointe Pkwy Ste 125 , Lake Barrington IL 60010-2346. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Whitaker, Ethan M can be contacted via phone (224) 512-9800.

Contact Information

Primary practice address
28156 W Northpointe Pkwy Ste 125 Lake Barrington IL 60010-2346
Phone: (224) 512-9800
Fax: (224) 512-9714
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1831674910
LBN Legal business name Whitaker, Ethan M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2018
Last updated Apr 29th, 2019 - about 6 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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