Erhardt, Viktoria R

Erhardt, Viktoria R is an individual health care provider with primary practice located at 2020 N Clybourn Ave , Chicago IL 60614-4004. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Erhardt, Viktoria R can be contacted via phone (773) 404-5277.

Contact Information

Primary practice address
2020 N Clybourn Ave Chicago IL 60614-4004
Fax: (773) 404-8278
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-077878 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-077878 Illinois

Profile Details

NPI number 1578555256
LBN Legal business name Erhardt, Viktoria R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated May 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578555256 NPPES
Illinois MEDICAID 036-077878-3

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