Healthcare Provider Details

I. General information

NPI: 1376467522
Provider Name (Legal Business Name): ERIK RAMIREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9233 159TH ST
ORLAND HILLS IL
60487-5977
US

IV. Provider business mailing address

10543 S AVENUE E
CHICAGO IL
60617-6314
US

V. Phone/Fax

Practice location:
  • Phone: 630-469-9200
  • Fax:
Mailing address:
  • Phone: 630-824-1611
  • Fax: 630-824-1611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number160009965
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: