David Lamont Ericson in Mundelein - Family Medicine
David Lamont Ericson - NPI 1417098690
David Lamont Ericson is a Family Medicine in Mundelein, Illinois. David Lamont Ericson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for David Lamont Ericson is 1417098690. The last update date is 2021-04-02.
David Lamont Ericson's current location address is 1162 W Maple Ave, Mundelein, Illinois. You can contact this provider via phone number 8473672400. The mailing address for David Lamont Ericson is 1162 W Maple Ave, Mundelein, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Lamont Ericson |
|---|---|
| Address | 1162 W Maple Ave, Mundelein, Illinois |
| Phone Number | 8473672400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417098690 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2021-04-02 |
Provider Mailing Address Detail
| Address | 1162 W Maple Ave |
|---|---|
| City | Mundelein |
| State | Illinois (IL) |
| Post Code | 600601438 |
| Phone Number | 8473672400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36117087 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 820800 | IL | MEDICARE PTAN(GROUP) | |
| K36911 | IL | MEDICARE PTAN (INDIVIDUAL) |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to David Lamont Ericson by the Centers for Medicare & Medicaid Services?
The David Lamont Ericson has been assigned the NPI (National Provider Identifier) 1417098690 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where David Lamont Ericson's facilities are geographically located?
The facilities of David Lamont Ericson are physically situated at the following location: 1162 W Maple Ave, Mundelein, IL, 600601438.
What is the David Lamont Ericson's specialty and taxonomy code?
The David Lamont Ericson's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the David Lamont Ericson receive the assignment of its 1417098690 from the Centers for Medicare & Medicaid Services?
The David Lamont Ericson was issued its 1417098690 by the Centers for Medicare & Medicaid Services on 2007-02-09.
When was the information regarding David Lamont Ericson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to David Lamont Ericson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-04-02.
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