MEDICARE: ERIC ERICKSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225500000X	Respiratory/Developmental/Rehabilitative Specialist/Technologist		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7454077	OTHER	IL	AETNA
2	01622333	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1548441249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC ERICKSON

Provider Business Mailing Address
First Line	:	12400 S HARLEM AVE
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1440
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2748 CATON FARM RD
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60435-1309
Country	:	US
Telephone Number	:	815-609-0554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2007
Last Update Date	:	11/21/2007

Similar Medicare Providers

1295805778 — MICHAEL M GELBORT PHD
Practice Location Address:

2714 CATON FARM RD
JOLIET, IL
60435-1309

Practice Phone: 815-230-2262
Practice Fax: 815-230-2444

1013064047 — WCS OCCUPATIONAL REHABILITATION AND SPORTS MEDICINE, INC.
Practice Location Address:

2748 CATON FARM RD
JOLIET, IL
60435-1309

Practice Phone: 815-609-0554
Practice Fax:

1083749451 — MICHAEL M GELBORT INC
Practice Location Address:

2714 CATON FARM RD
JOLIET, IL
60435-1309

Practice Phone: 815-230-2262
Practice Fax:

1619267259 — MEGHAN GRZETICH LMFT
Practice Location Address:

2728 CATON FARM RD
JOLIET, IL
60435-1309

Practice Phone: 815-714-8847
Practice Fax:

1205177193 — LORN ALLISON D.N.
Practice Location Address:

2718 CATON FARM RD
JOLIET, IL
60435-1309

Practice Phone: 630-640-4907
Practice Fax:

1699018093 — IPM SERVICE COMPANY LLC
Practice Location Address:

2732 CATON FARM RD
JOLIET, IL
60435-1309

Practice Phone: 815-439-2726
Practice Fax:

Directions to “ ERIC ERICKSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.