Individual
ERIN CLAUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
225 E CHICAGO AVE # 46, CHICAGO, IL 60611-2991
(312) 227-6210
Mailing address
2149 W ADDISON ST APT 2, CHICAGO, IL 60618-6135
(608) 334-5706
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
213.000365
IL
222Z00000X
Orthotist
Primary
CO005808
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213.000365
IDFPR
IL
01
—
CO005808
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PEDORTHICS, INC
—
Enumeration date
08/23/2018
Last updated
08/23/2018
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