Ericson, Eric James

Ericson, Eric James is an individual health care provider with primary practice located at 3330 W 177Th St Suite 3C, Hazel Crest IL 60429-2184. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Ericson, Eric James can be contacted via phone (708) 799-6799.

Contact Information

Primary practice address
3330 W 177Th St Suite 3C Hazel Crest IL 60429-2184
Phone: (708) 799-6799
Fax: (708) 799-6991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 125050933 Illinois

Profile Details

NPI number 1972750743
LBN Legal business name Ericson, Eric James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2008
Last updated Dec 20th, 2021 - about 3 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 1972750743 NPPES
Illinois Other 125050933 MEDICAL LICENSE NUMBER

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