Healthcare Provider Details

I. General information

NPI: 1891749198
Provider Name (Legal Business Name): ERIKA L SWITZER HUNTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 S EAST AVE
MANITO IL
61546-8909
US

IV. Provider business mailing address

PO BOX 530
HAVANA IL
62644-0530
US

V. Phone/Fax

Practice location:
  • Phone: 309-968-5311
  • Fax: 309-968-5322
Mailing address:
  • Phone: 309-543-6600
  • Fax: 309-543-2089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036103186
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: