Individual
ETHAN WILLIAM KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 S PAULINA ST RM 110, CHICAGO, IL 60612-7210
(312) 996-1052
Mailing address
801 S PAULINA ST RM 110, CHICAGO, IL 60612-7210
(312) 996-1052
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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