Provider Demographics
NPI:1093945503
Name:HERRIN, ERIKA LEE
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:LEE
Last Name:HERRIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 N LAKE SHORE DR
Mailing Address - Street 2:APT. 511
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3414
Mailing Address - Country:US
Mailing Address - Phone:217-415-1831
Mailing Address - Fax:
Practice Address - Street 1:4646 NORTH MARINE DRIV
Practice Address - Street 2:LOUIS A. WEISS MEMORIAL HOSPITAL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640
Practice Address - Country:US
Practice Address - Phone:217-415-1831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.341628163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse