Healthcare Provider Details

I. General information

NPI: 1427993260
Provider Name (Legal Business Name): ERIC MICHAEL STRIEKER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 N ROUTE 31
CRYSTAL LAKE IL
60012
US

IV. Provider business mailing address

23W531 PINE DR
CAROL STREAM IL
60188-2685
US

V. Phone/Fax

Practice location:
  • Phone: 779-994-7860
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number38754
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: