MEDICARE: DR. OSCAR ERKENSWICK DC

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
1	111N00000X	Chiropractor	038.014021	IL
2	111N00000X	Chiropractor	34510	CA

General Provider Information

NPI Number	:	1306482427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OSCAR ERKENSWICK DC

Provider Business Mailing Address
First Line	:	1714 W SUNNYSIDE AVE APT 2R
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5358
Country	:	US
Telephone Number	:	408-218-6856
Fax Number	:

Provider Business Practice Location Address
First Line	:	1714 W SUNNYSIDE AVE APT 2R
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5358
Country	:	US
Telephone Number	:	408-218-6856
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2019
Last Update Date	:	05/05/2026

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Directions to “ DR. OSCAR ERKENSWICK DC” Practice Location

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