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General NPI Number Information
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NPI Number | 1750255253
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Entity Type | Individual
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Provider Name | AMY ELIZABETH ERICKSON APRN
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Gender | Female
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 10604 SOUTHWEST HWY STE 101
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-2704
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Country | US
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Telephone | 708-346-4065
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Fax | 708-423-5799
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1293
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209-032737
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209-032737
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License Number State | IL
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