Healthcare Provider Details

I. General information

NPI: 1134650856
Provider Name (Legal Business Name): ERIK B PIKAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 E MAIN ST
SALEM IL
62881-2933
US

IV. Provider business mailing address

608 E MAIN ST
SALEM IL
62881-2933
US

V. Phone/Fax

Practice location:
  • Phone: 845-389-5859
  • Fax:
Mailing address:
  • Phone: 845-389-5859
  • Fax: 618-551-2225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number036.161502
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: