Search › Illinois › 2085R0204X
Ethan Ungchusri
NPI 1437656683 · on the registry since 2018
Practice
- Address
- 5841 S Maryland Ave
Chicago, IL 60637 - Phone
- (773) 702-3550
- Organisation at this address
- Lifenet, Inc.
Medcentrix Inc
Hillary Hecktman
University Of Chicago
University Of ChicagoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2,773
Additional practice sites
- 1550 N Randall Rd, Elgin, IL
- 1959 Ne Pacific St, Seattle, WA
- 1959 Ne Pacific St, Seattle, WA
- 1870 W Winchestr Rd Ste 146, Libertyville, IL
- 534 Roxbury Rd, Rockford, IL
- 9410 Calumet Ave Ste 302, Munster, IN
- 5875 E Riverside Blvd, Rockford, IL
Registry record
- Primary taxonomy
- 2085R0204X
2085R0204X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-01
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