Erazo, Liliana M
Erazo, Liliana M is an individual health care provider with primary practice located at 201 Penny Ave Suite 100, East Dundee IL 60118-1431. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Erazo, Liliana M can be contacted via phone (847) 428-0915.Contact Information
Primary practice address
201 Penny Ave Suite 100
East Dundee IL 60118-1431
Phone: (847) 428-0915
Fax: (847) 551-9509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036.118714 | Illinois |
Profile Details
| NPI number | 1851512909 |
|---|---|
| LBN Legal business name | Erazo, Liliana M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Sep 5th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851512909 | NPPES |
| Illinois | Other | 04532482 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 036118714 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 05300348 | BLUE CROSS BLUE SHIELD |
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