Provider Demographics
NPI:1407309180
Name:ENK, ERIKA ELIZABETH (CNM)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:ELIZABETH
Last Name:ENK
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4870 N ROCKWELL ST
Mailing Address - Street 2:1S
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-2844
Mailing Address - Country:US
Mailing Address - Phone:708-261-4931
Mailing Address - Fax:
Practice Address - Street 1:4870 N ROCKWELL ST
Practice Address - Street 2:1S
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-2844
Practice Address - Country:US
Practice Address - Phone:708-261-4931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife