Erickson, Keaton John

Erickson, Keaton John is an individual health care provider with primary practice located at 5841 S Maryland Ave Ste Mc7082 , Chicago IL 60637-1465. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Erickson, Keaton John can be contacted via phone (773) 702-6840.

Contact Information

Primary practice address
5841 S Maryland Ave Ste Mc7082 Chicago IL 60637-1465
Phone: (773) 702-6840
Fax: (773) 702-2230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125083599 Illinois

Profile Details

NPI number 1598278129
LBN Legal business name Erickson, Keaton John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2017
Last updated May 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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