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NPI Code Detail

MEDICARE: MEREDITH T EHN DO

MEDICARE: MEREDITH T EHN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician5225277-1204UT
2208100000XPhysical Medicine & Rehabilitation Physician036.161474IL
32081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician036.161474IL

General Provider Information

NPI Number : 1447223656
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH T EHN DO
Provider Business Mailing Address
First Line : 355 E ERIE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3167
Country : US
Telephone Number : 312-238-1000
Fax Number :
Provider Business Practice Location Address
First Line : 355 E ERIE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3167
Country : US
Telephone Number : 312-238-1000
Fax Number : 312-238-7709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 08/11/2022

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Directions to “ MEREDITH T EHN DO” Practice Location

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