Individual
ETHAN DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
23915 W MAIN ST UNIT 109, PLAINFIELD, IL 60544-1993
(815) 296-0596
Mailing address
11016 HALEY CT, ORLAND PARK, IL 60467-5667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.039858
IL
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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