Provider Demographics
NPI:1831520949
Name:CALLARD, ERICA (APN)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:CALLARD
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 BARRINGTON RD
Mailing Address - Street 2:SUITE 210 BLDG ONE
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1019
Mailing Address - Country:US
Mailing Address - Phone:847-885-3500
Mailing Address - Fax:847-285-1871
Practice Address - Street 1:1555 BARRINGTON RD
Practice Address - Street 2:SUITE 210 BLDG ONE
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1019
Practice Address - Country:US
Practice Address - Phone:847-885-3500
Practice Address - Fax:847-285-1871
Is Sole Proprietor?:No
Enumeration Date:2013-11-29
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.011030363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health