Individual
THOMAS ANDREW EHMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4700 GILBERT AVE STE 51, WESTERN SPRINGS, IL 60558-1664
(708) 387-1737
(630) 387-1739
Mailing address
4700 GILBERT AVE, STE 52, WESTERN SPRINGS, IL 60558-1753
(708) 387-1737
(708) 387-1739
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036138530
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
036.138530
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02005258A
INDIANA DO LICENSE
IN
01
—
036.138530
STATE LICENSE
IL
Enumeration date
06/30/2010
Last updated
01/06/2020
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