Individual
DR. ERICK MAKIO KAWAKITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1802 S MATTIS AVE, CHAMPAIGN, IL 61821-5923
(217) 383-3260
(217) 383-4459
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036130025
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2007
Last updated
01/06/2015
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