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General NPI Number Information
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NPI Number | 1750684668
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Entity Type | Organization
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Legal Business Name | THOMAS KENNETH EHNI
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Dates
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Enumeration Date | 12/15/2010
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 1215 S ARLINGTON HEIGHTS RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3142
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Country | US
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Telephone | 847-378-8612
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Fax | 847-378-8617
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Provider Business Mailing Address
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Address Line | 1215 S ARLINGTON HEIGHTS RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3142
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Country | US
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Telephone | 847-378-8612
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Fax | 847-378-8617
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Authorized Official
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Title or Position | PARTNER
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Name | DR. THOMAS KENNETH EHNI
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Credential | MD
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Telephone | 847-378-8612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 036-089182
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License Number State | IL
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