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Contact Information

JASON G ETHINGTON, MD
7421 N MILWAUKEE AVE
NILES, IL60714-3707
 Phone: 773-775-0811
 Fax: 773-819-7013
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JASON G ETHINGTON · (Male)

NPI Number 1295962074
Status Active
Credentials MD
Entity Individual
Enumeration date 06/18/2009
Last updated 04/24/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125.056717
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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