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Ethan Embry

NPI 1265289938 · on the registry since 2024 · sole proprietor

Practice

Address
1422 W Lunt Ave Apt 2n
Chicago, IL 60626
Phone
(781) 248-9656

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Sex
Male
Record last updated
2024-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois