Active NPI
Quenby Lea Erickson, D.O
- Dermatology Physician
- Chicago, IL
National Provider Identifier
1558356410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 02002378A
- Practice address
- 737 N Michigan Ave Ste 900
Chicago, IL 60611-6600 - Phone
- (312) 300-6858
- NPI assigned
- Sep 16, 2005
- Last updated
- Aug 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 02002378A | IN | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 036-114774 | IL |
Addresses
Primary practice location
737 N Michigan Ave Ste 900
Chicago, IL 60611-6600
Mailing address
737 N Michigan Ave Ste 900
Chicago, IL 60611-6600
Phone (312) 300-6858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02002378A | IN | MD | Dermatology Physician |
| 036-114774 | IL | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suleman J. Bangash D.O.S.C. | Mohs-Micrographic Surgery | Current | Accepting new patients |
| Mohs Surgery &Dermatology | Past | Accepting new patients | |
| Physicians Dermpath Laboratory | Past | Accepting new patients | |
| Distinctive Dermatologyltd | Dermatology | Past | Accepting new patients |
Locations
820 E Terra Cotta Ave
Ste 125
Crystal Lake, IL 60014
Phone (815) 455-4434
1750 N Randall Rd
Ste 120
Elgin, IL 60123
Phone (847) 608-6647
Interoperability endpoints
- qerickson@illinois.emadirect.md
Organizations & group practices 4
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.
-
- MOHS-Micrographic Surgery Physician
- Elgin, IL
- NPI 1841469830
-
- Dermatology Physician
- Swansea, IL
- NPI 1518028398
-
- Specialist
- Elgin, IL
- NPI 1356721591
-
- Dermatopathology Physician
- Park Ridge, IL
- NPI 1376866897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1558356410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 N MICHIGAN AVE STE 900",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606116600",
"telephone_number": "312-300-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 N MICHIGAN AVE STE 900",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606116600",
"telephone_number": "312-300-6858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "QUENBY",
"middle_name": "LEA",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-16",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IN",
"license": "02002378A",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "IL",
"license": "036-114774",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.