Healthcare Provider Details

I. General information

NPI: 1316866734
Provider Name (Legal Business Name): MERISTEM HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 HARDACRE RD
SALEM IL
62881-2597
US

IV. Provider business mailing address

525 HARDACRE RD
SALEM IL
62881-2597
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIK B PIKAS
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 845-389-5859