ETHAN LEWIS SEGAL

MAYWOOD, IL
NPI1932427036
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-05-13
Last Update Date2010-05-13
Business Address
DR. ETHAN LEWIS SEGAL M.D.
2160 S 1ST AVE MACGUIRE CENTER SUITE 2700
MAYWOOD, IL 60153-3328
Phone number: 708-216-8066
Mailing Address
DR. ETHAN LEWIS SEGAL M.D.
1024 DUNLOP AVE APARTMENT B
FOREST PARK, IL 60130-3011
Phone number: 617-784-8982
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