Timothy James Erickson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010212 Issued in IL

Practice address

3108 S Route 59 Ste 124
Naperville, IL 60564-7804

Phone

(630) 983-1805

Fax

(630) 983-1845

NPI assigned

Aug 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Symmetry Chiropractic & Acupuncture LTD

  • Chiropractor
  • Naperville, IL
  • NPI 1568770444
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1891788675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24115 103RD ST",
            "address_2": "SUITE A",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648012",
            "telephone_number": "630-983-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 S ROUTE 59 STE 124",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605647804",
            "telephone_number": "630-983-1805",
            "fax_number": "630-983-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038010212",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9932254",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erickson Health Medical Group of Illinois PC
• Erickson Health Medical Group of Illinois, PC
• Erickson Retirement Communities, LLC
• Kelly Lynn Erickson, APRN
• Mary Erickson, NP
• Erin Leyba, L.C.S.W., PH.D., LLC
• Kelly J Ertmoed, M.S. CCC-SLP/L
• Keyana N Ervin
• Alison Noble Escalante, M.D.
• Maria Fernanda Escamilla Encinas, CNM

• Chiropractor in Naperville, IL
• Providers in Naperville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.