Individual
ERIK ALEXANDER GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3411 W DIVERSEY AVE OFC 14, CHICAGO, IL 60647-1245
(312) 508-8748
Mailing address
2966 N OAKLEY AVE, CHICAGO, IL 60618-8010
(312) 312-2707
(312) 280-4275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.028104
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144034356
MODERN THERAPY ALLIANCE, LLC
IL
Enumeration date
04/17/2022
Last updated
06/13/2025
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