# ERICKSON HEALTH MEDICAL GROUP OF ILLINOIS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sedgebrook Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982624763
- **Authorized official:** DR. MATTHEW NARRETT M.D. (EXECUTIVE VP, CMO)
- **Authorized official phone:** (410) 402-2257

## Contact information

- **Practice address:** 800 AUDUBON WAY, LINCOLNSHIRE, IL 60069-3811
- **Practice address phone:** (847) 876-2200
- **Practice address fax:** (847) 793-0281
- **Mailing address:** 701 MAIDEN CHOICE LN, CATONSVILLE, MD 21228-5968
- **Mailing address phone:** (410) 402-2257
- **Mailing address fax:** (410) 402-2264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |
| 364SG0600X | Gerontology Clinical Nurse Specialist | — | NULL | — |
| 364SG0600X | Gerontology Clinical Nurse Specialist | — | — | — |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | — |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 08/28/2009