Erickson Retirement Communities, LLC

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

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

Organization subpart

No

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

Specialties & licenses 2

Addresses

Locations

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": []
}

• Eresources Consultants Inc.
• Michael Erhart, D.D.S.
• Erica Veguilla MD LLC
• 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

• Occupational Medicine Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Occupational Medicine Physician in Illinois

• 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.

Verify at the official NPI Registry.