Provider Demographics
NPI:1801382510
Name:JANG, ERIKA (APRN, CNM, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:JANG
Suffix:
Gender:F
Credentials:APRN, CNM, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 S WENTWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-4615
Mailing Address - Country:US
Mailing Address - Phone:312-567-2900
Mailing Address - Fax:312-842-0100
Practice Address - Street 1:2323 S WENTWORTH AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-4615
Practice Address - Country:US
Practice Address - Phone:312-567-2900
Practice Address - Fax:312-842-0100
Is Sole Proprietor?:No
Enumeration Date:2018-07-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209017947207V00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology