| Dr Robert Keith Erickson, MD | |
|
712 S Milwaukee Ave, Libertyville, IL 60048-3279 | |
| (847) 362-1848 | |
| (847) 362-3351 |
| Full Name | Dr Robert Keith Erickson |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 712 S Milwaukee Ave, Libertyville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225048804 | NPI | - | NPPES |
| 03606605 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 036-066065 (Illinois) | Primary |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Entity Name | American Center For Spine & Neurosurgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942281126 PECOS PAC ID: 9537130224 Enrollment ID: O20040805000117 |
| Entity Name | Micro Neuro Spine S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003485376 PECOS PAC ID: 1052711041 Enrollment ID: O20210730000907 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Keith Erickson, MD 712 S Milwaukee Ave, Libertyville, IL 60048-3279 Ph: (847) 362-1848 | Dr Robert Keith Erickson, MD 712 S Milwaukee Ave, Libertyville, IL 60048-3279 Ph: (847) 362-1848 |
Jonathan S Citow, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 716 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-362-1848 Fax: 847-362-3351 | |
Bradley T Bagan, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 716 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-362-1848 Fax: 847-362-3351 | |
Juan C Alzate, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 716 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-362-1848 Fax: 847-362-3351 |