NPI 1013029511

Ethan Michael Meisel, MD

Practitioner General Practice Physician Chicago, IL

Practice location

Address: 211 E Ontario St Suite 925, Chicago, IL 60611-3468
Phone: (312) 573-0614
Fax: (312) 573-0694
Mailing address: 2001 Butterfield Rd Suite 300, Downers Grove, IL 60515-1050

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 036.123753 (IL)

Other General Practice providers in Illinois →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence H95343 (GA)

Other Emergency Medicine providers in Illinois →

Registry record

NPI: 1013029511
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2006
Record last updated: 20 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.