Individual
ERIK MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, ACNP-BC
Contact information
Practice address
1650 W HARRISON ST, SUITE 706 NORTH ATRIUM, CHICAGO, IL 60612-3800
(312) 942-5025
Mailing address
400 N LA SALLE DR, UNIT 3506, CHICAGO, IL 60654-8539
(773) 316-5551
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.010447
IL
363LA2100X
Acute Care Nurse Practitioner
209010447
IL
Other
Enumeration date
06/27/2013
Last updated
01/13/2025
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