Organization
MICRO NEURO SPINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KEITH ERICKSON MD (OWNER)
(312) 804-5652
Entity
Organization
Contact information
Practice address
1406 W CHICAGO AVE, CHICAGO, IL 60642-5479
(312) 804-5652
(312) 264-0993
Mailing address
1406 W CHICAGO AVE, CHICAGO, IL 60642-5479
(312) 804-5652
(312) 264-0993
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
12/16/2025
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