Organization
ERICKSON HEALTH MEDICAL GROUP OF ILLINOIS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW J NARRETT MD (PRESIDENT)
(410) 402-2261
Entity
Organization
Contact information
Practice address
2255 ERICKSON DR, NAPERVILLE, IL 60563-4164
(630) 300-1125
(630) 300-1394
Mailing address
5525 RESEARCH PARK DR, 4TH FLOOR, BALTIMORE, MD 21228-4664
(410) 402-2258
(410) 204-7279
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6447870002
DME
IL
Enumeration date
08/05/2010
Last updated
08/26/2011
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