Provider Demographics
NPI:1013354810
Name:IBLER, ERIN M (MD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:IBLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2148 N DAMEN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-4562
Mailing Address - Country:US
Mailing Address - Phone:773-938-8128
Mailing Address - Fax:773-938-8126
Practice Address - Street 1:2148 N DAMEN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-4562
Practice Address - Country:US
Practice Address - Phone:773-938-8128
Practice Address - Fax:773-938-8126
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.139264207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology