MR. ERIC D KING (NPI# 1427101922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427101922 |
| Entity Type | Individual |
| Full Name | MR. ERIC D KING |
| Credential | P.A.-C |
| Practice Address |
1765 N Elston Ave Suite 110 Chicago IL 60642-1501 |
| Practice Telephone | 7732761100 |
| Practice Fax Number | 7732761102 |
| Mailing Telephone | 7732761100 |
| Mailing Fax Number | 7732761102 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2016-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085002875 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316439102 | Eric King | Case Manager/Care Coordinator | 2201 W 93rd St Apt 331, Cleveland, OH 44102-3785 | 2018-06-06 |
| 1659750321 | Eric Langdon King | Social Worker | 2861 Neil Metcalf Rd, Enterprise, AL 36330-8003 | 2015-05-27 |
| 1215267521 | Eric King | Physical Therapy Assistant | 46 Tina Way, Barnegat, NJ 08005-1364 | 2010-01-08 |
| 1669619045 | Eric King | Licensed Practical Nurse | 1940 Clinton Ave, Apt 5 B, Bronx, NY 10457-6515 | 2009-01-07 |
| 1336203231 | Eric N King | Optometrist | 101 Us Highway 150 Byp, Suite 117, Stanford, KY 40484-1034 | 2006-12-22 |
| 1306495130 | Eric J King | Student in an Organized Health Care Education/Training Program | 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 | 2019-09-04 |
| 1801358072 | Eric Christiansen King | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Worcester, MA 01655 | 2019-04-04 |
| 1255895637 | Eric King Jr. | Pharmacist | 1230 High St, Brandenburg, KY 40108-1517 | 2019-01-30 |
| 1073083390 | Eric Omar King | Social Worker | 25 Belmont St, Amesbury, MA 01913 | 2018-11-29 |
| 1619498789 | Eric King | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2017-06-29 |
| Street Address |
1765 N ELSTON AVE SUITE 110 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60642-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831139344 | Meyer Horn | Dermatology | 1765 N Elston Ave, Suite 110, Chicago, IL 60642-1501 | 2006-06-07 |
| 1629676481 | Donna Bagdasarian | Physical Therapist | 1765 N Elston Ave, Chicago, IL 60642-1501 | 2020-10-14 |
| 1366056053 | Elizabeth Lorentzen | Speech-Language Pathologist | 1765 N Elston Ave, Chicago, IL 60642-1501 | 2020-09-01 |
| 1023620754 | Emily Ann Marie Firmiss | Speech-Language Pathologist | 1765 N Elston Ave, Chicago, IL 60642-1501 | 2020-08-24 |
| 1508406380 | Justine Rae Boudreau | Behavioral Analyst | 1765 N Elston Ave, Suite 206, Chicago, IL 60642-1501 | 2020-01-09 |
| 1629618673 | Caitlin O'connor | Speech-Language Pathologist | 1765 N Elston Ave, Chicago, IL 60642-1501 | 2020-01-07 |
| 1326511544 | Jennifer Herndon | Behavioral Analyst | 1765 N Elston Ave, Chicago, IL 60642-1501 | 2019-01-10 |
| 1831564848 | Natalie Theriault | Nurse Practitioner | 1765 N Elston Ave, Suite 110, Chicago, IL 60642-1501 | 2015-12-02 |
| 1053552240 | Monica Rani | Dermatology | 1765 N Elston Ave, Suite 1600, Chicago, IL 60642-1501 | 2009-03-17 |
| 1376701623 | Emily L Arch | Dermatology | 1765 N Elston Ave, Suite 110, Chicago, IL 60642-1501 | 2008-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134612542 | Lauren Gregorcy | Social Worker | 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 | 2018-06-11 |
| 1811409030 | Athletico Ltd | Physical Therapist | 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 | 2017-10-27 |
| 1346759693 | Rachel Sherron | Counselor | 938 N Elston, #1, Chicago, IL 60642 | 2017-09-28 |
| 1639612831 | Empathic Resonance, LLC | Clinic/Center | 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 | 2016-11-21 |
| 1053867317 | D Jamieson Brady | Dentist | 1249 N Greenview Ave Apt 1, Chicago, IL 60642 | 2016-08-28 |
| 1548646508 | Kathryn Lee | Massage Therapist | 742 N Ada St, Unit 1, Chicago, IL 60642 | 2015-07-31 |
| 1497149694 | Neda Bahrani | Family Medicine | 1460 N Halsted St Ste 401, Chicago, IL 60642 | 2015-03-25 |
| 1326439431 | Sarah Perez | Counselor | 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 | 2015-02-11 |
| 1780097105 | Michael Sotiriou | Dermatology | 1765 N Elston Ave Ste 110, Chicago, IL 60642 | 2014-06-03 |
| 1285067876 | Tyler Pere Choate | Speech-Language Pathologist | 400 N. May Street, Chicago, IL 60642 | 2013-08-19 |
| Find all providers in zip 60642 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1598238883 | Andrea Budzon | Physician Assistant | 2940 N Kimball Ave Apt 2, Chicago, IL 60618-6846 | 2019-01-09 |
| 1760995161 | Leena Abed Hamdan | Physician Assistant | 251 E Huron St Fl 1, Chicago, IL 60611-2908 | 2017-11-08 |
| 1134580079 | Joseph Smith II | Physician Assistant | 654 E 84th St, Chicago, IL 60619-5802 | 2016-03-18 |
| 1679950232 | Alexis Davidman | Physician Assistant | 20 S Clark St Ste, Chicago, IL 60603-1802 | 2015-05-04 |
| 1669861589 | Stewart David Harsant | Physician Assistant | 1702 N Milwaukee Ave, Chicago, IL 60647-5424 | 2015-01-15 |
| 1063817013 | Jenna Lynn Sniegowski | Physician Assistant | 675 N Saint Clair St Fl 21, Chicago, IL 60611-5975 | 2014-11-01 |
| 1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
| 1306270137 | Brianne Patricia Randall | Physician Assistant | California Blvd. At 15th St., Chicago, IL 60608 | 2013-08-28 |
| Find all providers in CHICAGO | ||||
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| 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.