DR. Ethan Lewis Segal, M.D.

NPI #1932427036 in Maywood, Illinois

Provider Information

NPI Number: 1932427036
Entity Type: Individual
Name: DR. Ethan Lewis Segal, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: M.D.
Enumeration Date: May 13, 2010
Last Updated: May 13, 2010

Practice Location

Address: 2160 S 1ST AVE
Address 2: MACGUIRE CENTER SUITE 2700
City: Maywood
State: Illinois
ZIP Code: 60153-3328
Phone: (708) 216-8066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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