ERIC ERICKSON (NPI# 1548441249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548441249 |
Entity Type | Individual |
Full Name | ERIC ERICKSON |
Practice Address |
2748 Caton Farm Rd Joliet IL 60435-1309 |
Mailing Address |
12400 S Harlem Ave Palos Heights IL 60463-1440 |
Practice Telephone | 8156090554 |
Enumeration Date | 2007-11-21 |
Last Update Date | 2007-11-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225500000X | Specialist/Technologist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS BLUE SHIELD | 01622333 | 01 |
IL | AETNA | 7454077 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811425424 | Eric M. Erickson | Acupuncturist | 9105 E. Valley Blvd. Suite 101, Rosemead, CA 91770 | 2017-05-25 |
1982759445 | Eric Nils Erickson Jr. | Physician Assistant | 400 Langley Road, 177th Medical Group, Egg Harbor Twsp, NJ 08234 | 2007-01-24 |
1043214430 | Eric Richard Erickson | Dentist | 500 Linn St, Allegan, MI 49010-1525 | 2005-06-13 |
1841578937 | Eric Brian Erickson | Licensed Practical Nurse | 10065 E Harvard Ave Ste 400, Denver, CO 80231-5943 | 2011-07-25 |
1578735528 | Eric Geovanni Erickson | Social Worker | 1011 Washington Ave, Bronx, NY 10456-6619 | 2008-03-31 |
1811083959 | Eric M Erickson | Radiology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2006-10-05 |
1134151335 | Eric W Erickson | Orthopaedic Surgery | 820 E Grant St, Appleton, WI 54911-3483 | 2006-07-07 |
1558342220 | Eric Edward Erickson | Psychiatry & Neurology | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2005-11-09 |
Street Address |
2748 CATON FARM RD |
City | JOLIET |
State | IL |
Zip Code | 60435-1309 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104840289 | Bryan Piantek | Physical Therapist | 2748 Caton Farm Rd, Joliet, IL 60435-1309 | 2006-07-26 |
1013064047 | Wcs Occupational Rehabilitation and Sports Medicine, Inc. | Physical Therapist | 2748 Caton Farm Rd, Joliet, IL 60435-1309 | 2007-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
Find all providers in zip 60435 |
Taxonomy Code | 225500000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871139949 | Meryl Swidler | Specialist/Technologist | 44w625 Plato Rd, Burlington, IL 60109-1086 | 2019-11-22 |
1083070403 | Katerina Savino | Specialist/Technologist | 3823 N Ashland Ave, Chicago, IL 60613-5828 | 2016-01-14 |
1316174493 | David Knight | Specialist/Technologist | 66 Bradford Ln, Mundelein, IL 60060-2073 | 2009-06-16 |
1710147046 | Megan Maria Ziomek-feldman | Specialist/Technologist | 8440 Callie Ave, #301, Morton Grove, IL 60053-5011 | 2008-06-10 |
1538329842 | Carlos Andres Vazquez | Specialist/Technologist | 10743 S Avenue L, Chicago, IL 60617-6602 | 2008-06-10 |
1215118922 | Angela Sorensen | Specialist/Technologist | 616a W 5th Ave # A, Naperville, IL 60563-2902 | 2007-11-21 |
1790800043 | Veronica E. Moreno | Specialist/Technologist | 4332 N Elston Ave, Chicago, IL 60641-2144 | 2007-03-19 |
1174657605 | Kathryn Ruth Schwerman | Specialist/Technologist | 21290 Sylvan Dr S, Mundelein, IL 60060-9518 | 2007-03-15 |
1548318298 | Richa Vohra | Specialist/Technologist | 24039 W Lockport Rd, Plainfield, IL 60544-1832 | 2007-01-08 |
1255300117 | Kenneth A. Stiff | Specialist/Technologist | 500 W Elk Grove Blvd, Elk Grove Village, IL 60007-4272 | 2006-03-14 |
Find all providers with the same taxonomy |
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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.