Erickson, Kurt W

Erickson, Kurt W is an individual health care provider with primary practice located at 11560 S Kedzie Ave Ste 100 , Merrionette Park IL 60803-4517. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Erickson, Kurt W can be contacted via phone (708) 824-1114.

Contact Information

Primary practice address
11560 S Kedzie Ave Ste 100 Merrionette Park IL 60803-4517
Phone: (708) 824-1114
Fax: (708) 824-9341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036073183 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036073183 Illinois

Profile Details

NPI number 1033173125
LBN Legal business name Erickson, Kurt W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Dec 15th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033173125 NPPES
Illinois Other 236550 MEDICARE GROUP
Illinois Other CD8033 MEDICARE GROUP
Illinois Other CN2703 MEDICARE GROUP
Illinois MEDICAID 036073183 MEDICARE GROUP
Illinois Other 060056644 MEDICARE GROUP
Illinois Other 236551 MEDICARE GROUP
Illinois Other 416810 MEDICARE GROUP
Illinois Other 1508810086 MEDICARE GROUP
Illinois Other 01621208 MEDICARE GROUP
Illinois Other 060042344 MEDICARE GROUP

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