Individual
ETHAN FORREST KARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE., DEPT. OF PSYCHIATRY, EVANSTON, IL 60201
(847) 425-6400
Mailing address
2650 RIDGE AVE., DEPT. OF PSYCHIATRY, EVANSTON, IL 60201
(847) 425-6400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042.0012812
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022942
—
VT
Enumeration date
05/11/2011
Last updated
04/23/2021
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