Erica Alexandra Slack, APRN, FNP-BC, CNL

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.021979 Issued in IL

Practice address

959 W Dundee Rd
Wheeling, IL 60090

Phone

(847) 975-5510

NPI assigned

Apr 7, 2020

Last updated

Apr 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: esheck258964@direct.myadvocateaurora.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mobilevax Staffing LLC

  • Primary Care Nurse Practitioner
  • Chicago, IL
  • NPI 1730936741
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1477182897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23905 W BEDLINGTON CIR",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "600109707",
            "telephone_number": "847-975-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 W DUNDEE RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "60090",
            "telephone_number": "847-975-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "ERICA",
        "middle_name": "ALEXANDRA",
        "credential": "APRN, FNP-BC, CNL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-04-19",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.021979",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041430321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shama Shirazi, M.D.
• Sophia Shlain, LCSW
• Signature Home Care, LLC
• Michelle Gail Simon, MS, OTR/L
• Paula Skowronski Adamiak, D.D.S.
• Smile Dental Design, LLC
• Shawna K. Smith-Jefferson, MSW, LCSW
• Lada Z Smyk, D.D.S
• Snap Laboratories International, LLC
• Sondergrace Counseling PLLC

• Family Nurse Practitioner in Wheeling, IL
• Providers in Wheeling, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.