Erickson, Robert Keith

Erickson, Robert Keith is an individual health care provider with primary practice located at 712 S Milwaukee Ave , Libertyville IL 60048-3279. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Erickson, Robert Keith can be contacted via phone (847) 362-1848.

Contact Information

Primary practice address
712 S Milwaukee Ave Libertyville IL 60048-3279
Phone: (847) 362-1848
Fax: (847) 362-3351
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036-066065 Illinois

Profile Details

NPI number 1225048804
LBN Legal business name Erickson, Robert Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Feb 6th, 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 1225048804 NPPES
Illinois MEDICAID 03606605

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