Organization
ERICKSON RETIREMENT COMMUNITIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG DAVID THORNE MD (EMPLOYEE HEALTH MEDICAL DIRECTOR)
(410) 402-2261
Entity
Organization
Contact information
Practice address
2255 ERICKSON DR, NAPERVILLE, IL 60563-4164
(630) 300-1126
(630) 300-1394
Mailing address
701 MAIDEN CHOICE LN, BALTIMORE, MD 21228-5968
(410) 402-2261
(410) 402-2264
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/17/2007
Last updated
04/18/2008
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