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NPI Code Detail

MEDICARE: DR. VIKTORIA R ERHARDT M.D.

MEDICARE:  DR. VIKTORIA R ERHARDT  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
12084N0400XNeurology Physician036-077878IL
22084P0800XPsychiatry Physician036-077878IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578555256
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VIKTORIA R ERHARDT M.D.
Provider Business Mailing Address
First Line : 2020 N CLYBOURN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-4004
Country : US
Telephone Number : 773-404-5277
Fax Number : 773-404-8278
Provider Business Practice Location Address
First Line : 1723 HOWARD ST
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3735
Country : US
Telephone Number : 224-307-8550
Fax Number : 847-491-0380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 04/17/2025

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Directions to “ DR. VIKTORIA R ERHARDT M.D.” Practice Location

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