Active NPI
Erica Sidenstick, LSW, CADC
- Social Worker
- Oak Forest, IL
National Provider Identifier
1710264486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.011583
- Practice address
- 15350 Oak Park Ave
Oak Forest, IL 60452-1500 - Phone
- (708) 687-9200
- Fax
- (708) 687-9211
- NPI assigned
- Nov 9, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.011583 | IL | Primary |
Addresses
Primary practice location
15350 Oak Park Ave
Oak Forest, IL 60452-1500
Mailing address
15350 Oak Park Ave
Oak Forest, IL 60452-1500
Phone (708) 687-9200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.011583 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1710264486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15350 OAK PARK AVE",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604521500",
"telephone_number": "708-687-9200",
"fax_number": "708-687-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15350 OAK PARK AVE",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604521500",
"telephone_number": "708-687-9200",
"fax_number": "708-687-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDENSTICK",
"first_name": "ERICA",
"name_prefix": "Ms.",
"credential": "LSW, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-09",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.011583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Forest, IL
- Sherry Petro & Assoc
- Darshana J Sheth, MD
- Veeral Sheth, M.D.
- Oyeyemi Anthony Shodiya
- Kareema Siddiqui
- Ranjit Sigamony, M.D
- Vladislav Souboch, OD
- South Suburban Multi Specialty Group LTD (South Subrban Multi Specialty Group LTD)
- South Suburban Obstetrics &
- Southwest Cook County Cooperative Assn for Special Education
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.