Healthcare Provider Details

I. General information

NPI: 1942135132
Provider Name (Legal Business Name): ERIC SALLINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 W HARRISON ST
CHICAGO IL
60612-3706
US

IV. Provider business mailing address

2150 W HARRISON ST
CHICAGO IL
60612-3706
US

V. Phone/Fax

Practice location:
  • Phone: 312-563-1212
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number125.088052
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: