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Ernest E Ertmoed, M.D.

Obstetrics & Gynecology, Gynecology in Springfield, IL. Individual provider (NPI-1).

NPI number1710073382
StatusActive
Last updated in NPPESJan 21, 2025

Details

NPI
1710073382
Entity type
Individual (NPI-1)
Name
Ernest E Ertmoed
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 4, 2006
Certification date
Jan 21, 2025
Last updated
Jan 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VG0400X Obstetrics & Gynecology, Gynecology036062213ILYes

Practice location

1250 Churchill Rd
Springfield, IL 62702-3493

Phone 217-546-7556

Mailing address

1250 Churchill Rd
Springfield, IL 62702-3493

Phone 217-546-7556

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