MEDICARE: DR. ANDREW JAMES LERRICK 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
1	207Y00000X	Otolaryngology Physician	288547	MA
2	207Y00000X	Otolaryngology Physician	036-082725	IL

Other Identifiers

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

General Provider Information

NPI Number	:	1730185513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW JAMES LERRICK M.D.

Provider Business Mailing Address
First Line	:	611 W PARK ST
Second Line	:	FAPC
City	:	URBANA
State	:	IL
Zip	:	61801-2500
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 LANDMARK DR STE A
Second Line	:
City	:	NORMAL
State	:	IL
Zip	:	61761-3195
Country	:	US
Telephone Number	:	309-268-3200
Fax Number	:

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

Provider Enumeration Date	:	06/25/2005
Last Update Date	:	03/24/2025

Similar Medicare Providers

1639170731 — JAY K. CHAUHAN D.O.
Practice Location Address:

207 LANDMARK DR
NORMAL, IL
61761-3195

Practice Phone: 309-268-3200
Practice Fax:

1952389975 — MRS. ANN MARIE SMITH DOCTOR OF AUDIOLOGY
Practice Location Address:

207 LANDMARK DR
NORMAL, IL
61761-3195

Practice Phone: 309-268-3200
Practice Fax:

1700974334 — DR. SARA JOSEPHINE SIEGMUND AU.D.
Practice Location Address:

207 LANDMARK DR STE A
NORMAL, IL
61761-3195

Practice Phone: 309-268-3200
Practice Fax: 309-268-3213

1891997110 — DR. THOMAS CHARLES KELLY MD
Practice Location Address:

207 LANDMARK DR , SUITE A
NORMAL, IL
61761-3195

Practice Phone: 309-268-3200
Practice Fax:

1245471150 — CHRISTY MAHRT AU.D.
Practice Location Address:

207 LANDMARK DR STE A
NORMAL, IL
61761-3195

Practice Phone: 309-268-3200
Practice Fax:

1487070538 — DR. COURTNEY ANNE NEIL PARMLEY AU.D., CCC-A
Practice Location Address:

207 LANDMARK DR STE A
NORMAL, IL
61761-3195

Practice Phone: 309-268-3200
Practice Fax: 309-663-2956

Directions to “ DR. ANDREW JAMES LERRICK M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.