Individual
STEFAN RYAN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-4000
Mailing address
1130 S MICHIGAN AVE APT 2709, CHICAGO, IL 60605-2321
(510) 710-3555
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A188524
CA
Other
Enumeration date
04/11/2020
Last updated
10/15/2025
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