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Individual

DR. ERIC JAMES ERICSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3330 W 177TH ST, SUITE 3C, HAZEL CREST, IL 60429-2184
(708) 799-6799
(708) 799-6991
Mailing address
3330 W 177TH ST, SUITE 3C, HAZEL CREST, IL 60429-2184
(708) 799-6799
(708) 799-6991

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
125050933
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125050933
MEDICAL LICENSE NUMBER
IL
Enumeration date
08/25/2008
Last updated
12/20/2021
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