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NPI Code Detail

MEDICARE: DR. MARK ANDREW ERICKSON M.D.

MEDICARE: DR. MARK ANDREW ERICKSON M.D.
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
1207L00000XAnesthesiology Physician036176605IL
2207L00000XAnesthesiology PhysicianMD-40728IA
3207L00000XAnesthesiology Physician156888NC

General Provider Information

NPI Number : 1518193242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK ANDREW ERICKSON M.D.
Provider Business Mailing Address
First Line : 2650 RIDGE AVE STE 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 155 E BRUSH HILL RD
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5658
Country : US
Telephone Number : 331-221-3521
Fax Number : 331-221-3827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2009
Last Update Date : 02/17/2026

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