Individual
MRS. ERICA JANE TWARLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2401 RAVINE WAY, GLENVIEW, IL 60025-7645
(847) 998-5680
(847) 998-6365
Mailing address
474 BARN SWALLOW DR, LINDENHURST, IL 60046-4940
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085-002031
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214249035
MEICARE
IL
01
—
214251042
MEDICARE
IL
Enumeration date
04/13/2006
Last updated
06/06/2013
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