Ethan Austhof, MD
Ethan Austhof, MD is a Diagnostic Radiology Physician in Chicago, Illinois. Licensed in Michigan. Registered with an NPI since 2022.
- Licensed in
- MI
- In the registry since
- 2022
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
5841 S Maryland AveChicago, IL 60637-4502
Phone: (773) 702-3550
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 4351049341 (MI) |
|---|
Record details
| NPI number | 1710628730 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 5, 2022 |
| Last updated in NPPES | June 27, 2023 |
| Certification date | June 27, 2023 |
| Mailing address | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 |
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