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NPI Code Detail

MEDICARE: MS. ERICA J KLAW PA-C

MEDICARE: MS. ERICA J KLAW PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant085001472IL
2363A00000XPhysician Assistant085-001472IL

General Provider Information

NPI Number : 1215918230
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERICA J KLAW PA-C
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 4025 N WESTERN AVE BLDG E
Second Line :
City : CHICAGO
State : IL
Zip : 60618-3726
Country : US
Telephone Number : 773-725-7700
Fax Number : 773-279-6504
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 09/02/2025

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