Mcdermott, Erin Maureen
Mcdermott, Erin Maureen is an sole proprietor health care provider with primary practice located at 455 Butler Dr , Lake Forest IL 60045-3013. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Mcdermott, Erin Maureen can be contacted via phone (216) 973-7468.Contact Information
Primary practice address
455 Butler Dr
Lake Forest IL 60045-3013
Phone: (216) 973-7468
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070.023522 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 070.023522 | Illinois |
Profile Details
| NPI number | 1134629777 |
|---|---|
| LBN Legal business name | Mcdermott, Erin Maureen |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2018 |
| Last updated | Dec 5th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134629777 | NPPES |
| Illinois | Other | 1134629777 | BLUE CROSS BLUE SHIELD |
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