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Organization
WILLIAM B ERICKSON PC
Active
Organization
WILLIAM B ERICKSON PC
Active
Other names
Friel-Erickson Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BARRY ERICKSON DC (PRESIDENT)
(815) 397-3744
Entity
Organization
Contact information
Practice address
2606 BROADWAY STE 1A, ROCKFORD, IL 61108-5769
(815) 397-3744
(815) 397-7259
Mailing address
2606 BROADWAY STE 1A, ROCKFORD, IL 61108-5769
(815) 397-3744
(815) 397-7259
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-003739
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11373625
CAQH
IL
Enumeration date
01/08/2007
Last updated
06/17/2008
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