ERICKSON HEALTH MEDICAL GROUP OF ILLINOIS, PC (NPI# 1740594431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740594431 |
| Entity Type | Organization |
| Organization Name | ERICKSON HEALTH MEDICAL GROUP OF ILLINOIS, PC |
| Practice Address |
2255 Erickson Dr Naperville IL 60563-4164 |
| Mailing Address |
5525 Research Park Dr 4th Floor Baltimore MD 21228-4664 |
| Practice Telephone | 6303001125 |
| Practice Fax Number | 6303001394 |
| Mailing Telephone | 4104022258 |
| Mailing Fax Number | 4102047279 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2011-08-26 |
| Authorized Official Name | DR. MATTHEW J NARRETT (PRESIDENT) |
| Authorized Official Telephone | 4104022261 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DME | 6447870002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235442880 | Erickson Health Medical Group of Illinois, PC | Durable Medical Equipment & Medical Supplies | 800 Audubon Way, Lincolnshire, IL 60069-3811 | 2010-07-23 |
| Street Address |
2255 ERICKSON DR |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-4164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316136278 | Erickson Retirement Communities, LLC | Nurse Practitioner | 2255 Erickson Dr, Naperville, IL 60563-4164 | 2007-10-17 |
| 1285956227 | Total Life Physical Therapy, LLC | Clinic/Center | 2255 Erickson Dr, Naperville, IL 60563-4164 | 2010-02-18 |
| 1144469032 | Summit Therapy and Rehabilitation, LLC | Physical Therapist | 2255 Erickson Dr, Naperville, IL 60563-4164 | 2009-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271910 | Cell Store One1 Inc | Durable Medical Equipment & Medical Supplies | 3727 Highknob Cir, Naperville, IL 60564-4423 | 2020-09-29 |
| 1700411030 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 4003 S Route 59 Ste 100, Naperville, IL 60564-5802 | 2020-03-06 |
| 1265977458 | Hub Medical, LLC | Durable Medical Equipment & Medical Supplies | 1130 Kings Point Ct, Naperville, IL 60563-2236 | 2016-12-27 |
| 1003242736 | Core Medical, LLC | Durable Medical Equipment & Medical Supplies | 1161 Ardmore Dr, Naperville, IL 60540-0302 | 2013-09-26 |
| 1851734214 | Mb&a, Inc | Durable Medical Equipment & Medical Supplies | 2671 Freeland Cir, Naperville, IL 60564-5879 | 2013-04-16 |
| 1477840882 | Cork Medical LLC | Durable Medical Equipment & Medical Supplies | 600 North Industrial Drive, 303, Naperville, IL 60563 | 2011-07-06 |
| 1568768448 | Cork Medical of Chicago, LLC | Durable Medical Equipment & Medical Supplies | 600 Industrial Dr Ste 303, Naperville, IL 60563-3978 | 2011-02-10 |
| 1871894188 | Lisa Murillo | Durable Medical Equipment & Medical Supplies | 5s030 Pebble Beach Court, Naperville, IL 60563-1961 | 2010-11-03 |
| 1407163140 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1299 E Ogden Ave, Naperville, IL 60563-1603 | 2010-09-01 |
| 1053640326 | Medical Care Technologies | Durable Medical Equipment & Medical Supplies | 2412 Comstock Ct, Naperville, IL 60564-8463 | 2009-12-16 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
Please comment or provide details below to improve the information on ERICKSON HEALTH MEDICAL GROUP OF ILLINOIS, PC.
| 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.