Mr Ethan James Ksiazek, PA-C - Physician Assistant in Chicago, IL

Mr Ethan James Ksiazek, PA-C is a Physician Assistant - Medical based in Chicago, Illinois. Mr Ethan James Ksiazek is licensed to practice in Iowa (license number 085010244) and his current practice location is 225 E Chicago Ave, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at (312) 227-4000.

NPI number for Mr Ethan James Ksiazek is 1073381166 and his current mailing address is 225 E Chicago Ave, Chicago, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073381166.

Contact Information

Mr Ethan James Ksiazek, PA-C
225 E Chicago Ave,
Chicago, IL 60611-2991
(312) 227-4000
Not Available

Map and Direction




Provider's Profile

Full NameMr Ethan James Ksiazek
GenderMale
SpecialityPhysician Assistant - Medical
Location225 E Chicago Ave, Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073381166
  • Provider Enumeration Date: 12/18/2023
  • Last Update Date: 04/25/2024

Medical Identifiers

Medical identifiers for Mr Ethan James Ksiazek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073381166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 085010244 (Iowa)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ethan James Ksiazek is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Ethan James Ksiazek, PA-C
225 E Chicago Ave,
Chicago, IL 60611-2991

Ph: (312) 227-4000
Mr Ethan James Ksiazek, PA-C
225 E Chicago Ave,
Chicago, IL 60611-2991

Ph: (312) 227-4000

Reviews and Comments


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