Individual provider · Type 1 NPI

Braxton Ehnert, DO

Student in an Organized Health Care Education/Training Program · Maywood, IL

NPI number 1508569625 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Call (888) 584-7888 Map

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X036178800 (IL)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508569625

Braxton Ehnert, DO's National Provider Identifier is 1508569625, issued on Mar 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Maywood, IL. The record was last updated on Aug 18, 2026.