Ethan Thomas Nethery, MD
Urology in Springfield, IL. Individual provider (NPI-1).
NPI number1265327555
StatusActive
Last updated in NPPESJun 9, 2025
Details
- NPI
- 1265327555
- Entity type
- Individual (NPI-1)
- Name
- Ethan Thomas Nethery
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2025
- Certification date
- Jun 9, 2025
- Last updated
- Jun 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 125086230 | IL | Yes |
Practice location
301 N 8th St Fl 3Springfield, IL 62701-1041
Phone 217-545-3262 · Fax 217-545-7305
Mailing address
Po Box 19700Springfield, IL 62794-9700
Phone 217-545-3262 · Fax 217-545-7305
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