DR. ERIC JAMES ERICSON (NPI# 1972750743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972750743 |
| Entity Type | Individual |
| Full Name | DR. ERIC JAMES ERICSON |
| Credential | M.D. |
| Practice Address |
3330 W 177th St Suite 3c Hazel Crest IL 60429-2184 |
| Practice Telephone | 7087996799 |
| Practice Fax Number | 7087996991 |
| Mailing Telephone | 7087996799 |
| Mailing Fax Number | 7087996991 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2011-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
125050933 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICAL LICENSE NUMBER | 125050933 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053699785 | Eric Frederic Ericson | Radiology | 1948 1st Ave Ne, Cedar Rapids, IA 52402-5321 | 2011-07-29 |
| 1427030725 | Eric S. Ericson | Ophthalmology | 2929 Mcfarland Road, Rockford, IL 61107 | 2005-11-14 |
| Street Address |
3330 W 177TH ST SUITE 3C |
| City | HAZEL CREST |
| State | IL |
| Zip Code | 60429-2184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780673897 | Nader M Beshay | Internal Medicine | 3330 W 177th St, Suite 3 H, Hazel Crest, IL 60429-2001 | 2005-10-20 |
| 1528614583 | Maribel Arteaga | Physical Therapist | 3330 W 177th St, Hazel Crest, IL 60429-2184 | 2019-08-15 |
| 1477119014 | Milka Ramirez | Social Worker | 3330 W 177th St, Hazel Crest, IL 60429-2184 | 2019-05-17 |
| 1396113486 | Samantha Hyche | Nurse Practitioner | 3330 W 177th St, Ste 3g, Hazel Crest, IL 60429-2199 | 2015-09-08 |
| 1427439645 | Ralph Yaniz | Counselor | 3330 W 177th St, 1f, Hazel Crest, IL 60429-2184 | 2015-06-12 |
| 1972998748 | Ozella Barnes | Psychologist | 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429-2184 | 2015-03-30 |
| 1346631645 | Healing Health Pharmacy Inc | Pharmacy | 3330 W 177th St, Suite 3e, Hazel Crest, IL 60429-2184 | 2015-02-09 |
| 1629472766 | Dorretta Parker | Social Worker | 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429-2184 | 2014-10-17 |
| 1073916888 | Vienne Reid | Social Worker | 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429-2184 | 2014-10-07 |
| 1134546906 | Mia Garmon | Registered Nurse | 3330 W 177th St, Suite 2g, Hazel Crest, IL 60429-2184 | 2014-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917987 | Nancy Sinwelski | Technician | 17305 Fisk Street, East Hazelcrest, IL 60429 | 2019-11-21 |
| 1144720871 | Plentiful Hair Studio LLC | Specialist | 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 | 2018-02-19 |
| 1376052142 | Natalie Allen | Counselor | 3518 Birchwood Dr, Hazel Crest, IL 60429 | 2017-09-25 |
| 1730534009 | Lydena Franklin | Counselor | 1909 Cheker Square, East Hazel Crest, IL 60429 | 2016-04-25 |
| 1710331053 | Lauiren Orta | Counselor | 1901 Cheker Square, E Hazel Crest, IL 60429 | 2016-04-22 |
| 1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
| 1770969354 | Karriem's Developmental Services | Day Training, Developmentally Disabled Services | 18513 River Road, Hazel Crest, IL 60429 | 2015-08-05 |
| 1073905170 | James Kamper | Physical Therapy Assistant | 1816 W 170th Street, Hazel Crest, IL 60429 | 2015-02-26 |
| 1194066019 | Marilyn C Scott | Psychologist | 18505 Meadow Ln., Hazel Crest, IL 60429 | 2013-03-04 |
| 1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
| Find all providers in zip 60429 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811144157 | Scott E Lipson | Psychiatry & Neurology | 3330 W 177th St, Suite 3c, Hazel Crest, IL 60429-2184 | 2008-08-19 |
| 1891984019 | Amarjit S Bhasin Md Ltd | Psychiatry & Neurology | 17680 Kedzie Ave, Suite 105, Hazel Crest, IL 60429 | 2007-10-24 |
| 1730294943 | Neurology Consultants, S.c. | Psychiatry & Neurology | 3330 W 177th St, Suite 3c, Hazel Crest, IL 60429-2184 | 2006-08-20 |
| 1518975432 | Amarjit Singh Bhasin | Psychiatry & Neurology | 17680 Kedzie Ave, Suite 105, Hazel Crest, IL 60429 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714294 | Kaitlin E Keenan | Psychiatry & Neurology | 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 | 2020-06-11 |
| 1811546484 | Glencor Neuromonitoring LLC | Psychiatry & Neurology | 611 S Milwaukee Ave Ste 8, Libertyville, IL 60048-3256 | 2019-09-06 |
| 1750941639 | Ammar Tarabichi | Psychiatry & Neurology | 751 N Rutledge, Springfield, Il, Springfield, IL 62794 | 2019-06-13 |
| 1972167906 | Kazkaz Southwest Neurology S.c. | Psychiatry & Neurology | 1890 Silver Cross Blvd Ste 320, New Lenox, IL 60451-9610 | 2019-04-25 |
| 1285195594 | Niccolo Emanuele Mencacci | Psychiatry & Neurology | 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 | 2019-03-28 |
| 1497216865 | Juan Pablo Ospina Botero | Psychiatry & Neurology | 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 | 2019-03-28 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1124526272 | Neurology Clinic of Chicago, LLC | Psychiatry & Neurology | 4909 W Division St Ste 302, Chicago, IL 60651-3161 | 2018-01-23 |
| 1538514120 | Kathleen Mary Gorman | Psychiatry & Neurology | 225 E Chicago Avenue, Chicago, IL 60611 | 2016-05-02 |
| 1396190203 | Lauren Brandes | Psychiatry & Neurology | 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 | 2016-04-28 |
| Find all providers with the same taxonomy | ||||
| City | HAZEL CREST |
| Zip Code | 60429 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.