Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas Erastus Ortlieb Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366296170

Thomas Erastus Ortlieb Jr. is a Student in an Organized Health Care Education/Training Program in Olympia Fields, Illinois. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone: (708) 747-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1366296170
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2024
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024
Mailing address1109 Loral Ave, Joliet, IL 60435-4446

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