MEDICARE: DR. KAVITA K ERICKSON MD

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	2085R0202X	Diagnostic Radiology Physician	01056693A	IN
2	2085R0202X	Diagnostic Radiology Physician	036-145004	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	:	1932205077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAVITA K ERICKSON MD

Provider Business Mailing Address
First Line	:	111 OAKWOOD RD
Second Line	:
City	:	EAST PEORIA
State	:	IL
Zip	:	61611-1853
Country	:	US
Telephone Number	:	309-740-4272
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E CARPENTER ST
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62769-9701
Country	:	US
Telephone Number	:	217-544-6464
Fax Number	:

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

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	01/11/2024

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1457086332 — MR. NICHOLAS JAMES MYERS
Practice Location Address:

1656 E GARFIELD RD
NEW SPRINGFIELD, OH
44443-9701

Practice Phone: 234-564-1184
Practice Fax:

1922930148 — OLIVIER NDAY BAJIMA
Practice Location Address:

800 E CARPENTER ST
SPRINGFIELD, IL
62769-1000

Practice Phone: 217-544-6464
Practice Fax:

1205821543 — DR. OMER M AKER MD
Practice Location Address:

800 E CARPENTER ST
SPRINGFIELD, IL
62769-2413

Practice Phone: 217-544-6464
Practice Fax:

1346236304 — KEITH R GABRIEL M.D.
Practice Location Address:

800 E CARPENTER ST
SPRINGFIELD, IL
62769-1041

Practice Phone: 217-757-6535
Practice Fax: 217-757-6536

1699763433 — DR. RAMAKRISHNA MADALA M.D.
Practice Location Address:

800 EAST CARPENTER ST , ROOM 2K64
SPRINGFIELD, IL
62769-0001

Practice Phone: 217-525-5643
Practice Fax: 217-544-2521

Directions to “ DR. KAVITA K ERICKSON MD” 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.