Active NPI
Erickson Retirement Communities, LLC
- Occupational Medicine Physician
- Naperville, IL
National Provider Identifier
1316136278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- Legal business name
- ERICKSON RETIREMENT COMMUNITIES, LLC
- Practice address
- 2255 Erickson Dr
Naperville, IL 60563-4164 - Phone
- (630) 300-1126
- Fax
- (630) 300-1394
- NPI assigned
- Oct 17, 2007
- Last updated
- Apr 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig David Thorne, MD
- Title
- Employee Health Medical Director
- Phone
- (410) 402-2261
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
2255 Erickson Dr
Naperville, IL 60563-4164
Mailing address
701 Maiden Choice LN
Baltimore, MD 21228-5968
Phone (410) 402-2261
National Provider Directory
National Provider DirectoryLocations
701 Maiden Choice Ln
Catonsville, MD 21228
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Silver Spring, MD
- NPI 1356550792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208476800000",
"number": "1316136278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 MAIDEN CHOICE LN",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212285968",
"telephone_number": "410-402-2261",
"fax_number": "410-402-2264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 ERICKSON DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605634164",
"telephone_number": "630-300-1126",
"fax_number": "630-300-1394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERICKSON RETIREMENT COMMUNITIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-17",
"last_updated": "2008-04-18",
"status": "A",
"authorized_official_last_name": "THORNE",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "EMPLOYEE HEALTH MEDICAL DIRECTOR",
"authorized_official_telephone_number": "410-402-2261",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
- Eresources Consultants Inc.
- Michael Erhart, D.D.S.
- Erica Veguilla MD LLC (TreeLight Wellness)
- Erickson Health Medical Group of Illinois PC
- Erickson Health Medical Group of Illinois, PC
- Kelly Lynn Erickson, APRN
- Mary Erickson, NP
- Timothy James Erickson, DC
- Erin Leyba, L.C.S.W., PH.D., LLC
- Kelly J Ertmoed, M.S. CCC-SLP/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.