Active NPI
Eric Ward Nolan, MD
- Child & Adolescent Psychiatry Physician
- Streamwood, IL
National Provider Identifier
1275723181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 036-121588
- Practice address
- 1400 E Irving Park Rd
Streamwood, IL 60107-3201 - Phone
- (314) 223-2993
- NPI assigned
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036-121588 | IL | Primary |
Addresses
Primary practice location
1400 E Irving Park Rd
Streamwood, IL 60107-3201
Mailing address
1400 E Irving Park Rd
Streamwood, IL 60107-3201
Phone (314) 223-2993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-121588 | IL | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1275723181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E IRVING PARK RD",
"city": "STREAMWOOD",
"state": "IL",
"postal_code": "601073201",
"telephone_number": "314-223-2993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E IRVING PARK RD",
"city": "STREAMWOOD",
"state": "IL",
"postal_code": "601073201",
"telephone_number": "314-223-2993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "ERIC",
"middle_name": "WARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "036-121588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Streamwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.