Provider Demographics
NPI:1356408322
Name:DUCAT, ERIN ELISABETH (DC)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:ELISABETH
Last Name:DUCAT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:ELISABETH
Other - Last Name:STRAUCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:148 S BLOOMINGDALE RD STE 107
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1491
Mailing Address - Country:US
Mailing Address - Phone:224-653-8094
Mailing Address - Fax:224-653-8317
Practice Address - Street 1:148 S BLOOMINGDALE RD STE 107
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1491
Practice Address - Country:US
Practice Address - Phone:224-653-8094
Practice Address - Fax:224-653-8317
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-010843111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
K48241Medicare PIN