Individual
ERICA ALEXANDRA SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC, CNL
Contact information
Practice address
959 W DUNDEE RD, WHEELING, IL 60090
(847) 975-5510
Mailing address
23905 W BEDLINGTON CIR, DEER PARK, IL 60010-9707
(847) 975-5510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041430321
IL
363LF0000X
Family Nurse Practitioner
Primary
209.021979
IL
Other
Enumeration date
04/07/2020
Last updated
04/19/2024
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