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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
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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