ERIKSON INSTITUTE


Address: 3948 W 26th St, Chicago, IL 60623
Phone: 3128937119

ERIKSON INSTITUTE (NPI# 1306476346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306476346
Entity Type Organization
Organization Name ERIKSON INSTITUTE
Practice Address 3948 W 26th St
Chicago
IL 60623
Mailing Address 451 N Lasalle St
Chicago
IL 60654-4510
Practice Telephone 3128937119
Enumeration Date 2020-01-17
Last Update Date 2020-01-17
Authorized Official Name PATRICIA LAWSON (VICE PRESIDENT FOR FINANCE AND OPER)
Authorized Official Telephone 3128937120
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447880471 Erikson Institute Clinic/Center 2739 W Division St, Chicago, IL 60622 2020-01-17
1477100626 Erikson Institute Clinic/Center 451 N Lasalle Street, Chicago, IL 60654-4510 2019-08-22
1285872796 Erikson Institute Counselor 451 N Lasalle St, Chicago, IL 60654-4510 2009-01-22
1093345027 Erikson Institute Clinic/Center 6832 W North Ave, Suite 3a, Chicago, IL 60707 2020-01-17

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ERIKSON INSTITUTE 451 N La Salle Dr, Chicago, IL 60654-4510
Colorado Business Entities Erikson Institute 451 N Lasalle St, Chicago, IL 60654-4510
Connecticut Business Registrations ERIKSON INSTITUTE CORPORATION 451 N Lasalle St, Chicago, IL 60654

Office Location

Street Address 3948 W 26TH ST
City CHICAGO
State IL
Zip Code 60623

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013966266 Vicken Ichkhan Dentist 3948 W 26th St, Suite 101, Chicago, IL 60623-3738 2006-05-08
1801319538 Paul Barreda Technician/Technologist 3948 W 26th St, Suite 102, Chicago, IL 60623-3740 2017-07-25
1023434917 Access Behavioral Services Community/Behavioral Health 3948 W 26th St, Suite 114, Chicago, IL 60623-3738 2014-03-15
1962704841 Vista Eye Center Optometrist 3948 W 26th St, Chicago, IL 60623-3738 2010-11-26
1518155241 Bradford Newton Optometrist 3948 W 26th St, Ste 102, Chicago, IL 60623-3740 2007-10-09
1861698557 Jennifer Stephanie Lee Dentist 3948 W 26th St, Suite 101, Chicago, IL 60623-3738 2007-06-21
1639239478 Perla Dental 26th Street LLC Dentist 3948 W 26th St, Ste 101, Chicago, IL 60623-3738 2006-12-11
1881618445 Christopher Dale Martin II Optometrist 3948 W 26th St, Chicago, IL 60623-3738 2006-07-27

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NPI Name Taxonomy Address Enumeration
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1245691211 L A Jones Hair Restoration Center Prosthetic/Orthotic Supplier 1657 S. Troy, Chicago, IL 60623 2016-03-17
1982019204 Sonrisa Dental Little Village 26th Clinic/Center 3059 S 26th St, Chicago, IL 60623 2014-06-25
1992055487 Margaret C Johnson Nurse Practitioner 3860 W. Ogden Ave, Chicago, IL 60623 2012-09-12
1477851319 Elizabeth Bauer Physician Assistant 3256 W 24th St, Chicago, IL 60623 2011-03-01
1023328390 Rebecca Franco Advanced Practice Midwife 2875 W. 19th St, Chicago, IL 60623 2010-10-20
1447580899 Candace Nicole Hutchen Pharmacist 3434 West 13th Place, Chicago, IL 60623 2010-01-07
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1144837055 Totality. Therapies LLC Clinic/Center 2027 W Division St Ste 157, Chicago, IL 60622-9024 2020-09-24
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Competitor

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City CHICAGO
Zip Code 60623

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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