Swenson, Erik A

Swenson, Erik A is an individual health care provider with primary practice located at 9550 W 167Th St , Orland Park IL 60467-5561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Swenson, Erik A can be contacted via phone (708) 873-4500.

Contact Information

Primary practice address
9550 W 167Th St Orland Park IL 60467-5561
Phone: (708) 873-4500
Fax: (708) 873-4505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036.097502 Illinois

Profile Details

NPI number 1922157239
LBN Legal business name Swenson, Erik A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Dec 18th, 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 1922157239 NPPES
Illinois Other 01615715 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036097502 BLUE CROSS BLUE SHIELD

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