Mccomb, Erin

Mccomb, Erin is an individual health care provider with primary practice located at 676 N Saint Clair St Suite 800, Chicago IL 60611-2927. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Mccomb, Erin can be contacted via phone (312) 695-5753.

Contact Information

Primary practice address
676 N Saint Clair St Suite 800 Chicago IL 60611-2927
Fax: (312) 695-5645
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036113602 Illinois

Profile Details

NPI number 1679770150
LBN Legal business name Mccomb, Erin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated May 7th, 2012 - about 14 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 1679770150 NPPES
California MEDICAID 00A997680

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