Individual
ETHAN STERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2333
(312) 567-2000
Mailing address
840 S WOOD ST, RM 440 CSN, MC718, CHICAGO, IL 60612-7323
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-114389
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114389
—
IL
Enumeration date
07/17/2006
Last updated
05/04/2021
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