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Ethan Michael Meisel, MD
General Practice Physician in Chicago, Illinois
NPI 1013029511

Ethan Michael Meisel is a General Practice Physician based in Downers Grove, IL. Ethan Michael Meisel practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Ethan Michael Meisel is 1013029511 and holds a License No. H95343 (Illinois).

The current practice location address for Ethan Michael Meisel is 211 E Ontario St, Chicago, IL and can be reached out via phone at 312-573-0614 and via fax at 312-573-0694.

Location: 211 E Ontario St, Chicago, IL, 60515-1050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013029511
Provider Name
Ethan Michael Meisel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
211 E Ontario St, Chicago, IL, 60515-1050
Phone Number
312-573-0614
Fax Number
312-573-0694
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171006162A 05 GA
171006162B 05 GA
P01186845 01 IL MEDICARE RAILROAD INDIVIDUAL PTAN
institution
Provider Business Practice Location Address Details
Address
211 E Ontario St
City
Chicago
State
Illinois
Zip
60611-3468
Phone Number
312-573-0614
Fax Number
312-573-0694
person
Provider Business Mailing Address Details
Address
211 E Ontario St
City
Chicago
State
Illinois
Zip
60611-3468
Phone Number
312-573-0614
Fax Number
312-573-0694
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
036.123753 (Illinois)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
H95343 (Georgia)
Definition
Definition to come...
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