MEDICARE: DR. JOSEPH JOHN ETHEN D.C.

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
1	111N00000X	Chiropractor	038.011678	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	9358811	OTHER	OH	MEDICARE GROUP NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700845047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH JOHN ETHEN D.C.

Provider Business Mailing Address
First Line	:	662 VERNON AVE
Second Line	:
City	:	GLENCOE
State	:	IL
Zip	:	60022-1694
Country	:	US
Telephone Number	:	847-835-4700
Fax Number	:	847-835-8408

Provider Business Practice Location Address
First Line	:	662 VERNON AVE
Second Line	:
City	:	GLENCOE
State	:	IL
Zip	:	60022-1694
Country	:	US
Telephone Number	:	847-835-4700
Fax Number	:	847-835-8408

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	05/26/2020

Similar Medicare Providers

1306824156 — DR. JUDITH KNIGHT MD
Practice Location Address:

342 PARK AVE
GLENCOE, IL
60022

Practice Phone: 847-242-0700
Practice Fax: 847-242-0700

1346211570 — DR. NEURINE ELAINE WIGGIN PSY.D.
Practice Location Address:

673 BLUFF ST
GLENCOE, IL
60022-1656

Practice Phone: 847-835-2738
Practice Fax: 847-835-2738

1265499164 — DR. EVELYN SIEGEL KLEIN PHD
Practice Location Address:

695 VERNON AVE
GLENCOE, IL
60022-2602

Practice Phone: 847-835-4617
Practice Fax:

1528007945 — JENNIFER FRIEDMAN M.D., LCPC
Practice Location Address:

661 VALLEY RD
GLENCOE, IL
60022-1660

Practice Phone: 312-246-9300
Practice Fax:

1518901032 — MR. SANFORD I KNIGHT D.P.M.
Practice Location Address:

434 WOODLAWN AVE
GLENCOE, IL
60022-2124

Practice Phone: 847-612-4729
Practice Fax: 847-835-8003

1497772909 — CHICAGOLAND THERAPY ASSOCIATES LTD
Practice Location Address:

111 HOGARTH LN , BOX 417
GLENCOE, IL
60022-1325

Practice Phone: 847-835-0660
Practice Fax: 847-835-0670

Directions to “ DR. JOSEPH JOHN ETHEN D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.