ETHAN IZU

CHICAGO, IL
NPI1487412854
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IL  125.087144)
Enumeration Date2024-03-11
Last Update Date2026-06-10
Business Address
ETHAN IZU MD
355 E ERIE ST
CHICAGO, IL 60611-3167
Phone number: 312-238-1000
Mailing Address
ETHAN IZU MD
355 E ERIE ST
CHICAGO, IL 60611-3167
Phone number: 312-238-1000