Provider Demographics
NPI:1093761363
Name:SALAMAN, ERICA (DO)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:SALAMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1841 W 19TH ST
Mailing Address - Street 2:2R
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-2713
Mailing Address - Country:US
Mailing Address - Phone:312-563-1943
Mailing Address - Fax:312-563-1943
Practice Address - Street 1:1841 W 19TH ST
Practice Address - Street 2:2R
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-2713
Practice Address - Country:US
Practice Address - Phone:312-563-1943
Practice Address - Fax:312-563-1943
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4339207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services