| Doctor Name: | DR. ERICA IRENE ESSARY |
| NPI Number: | 1295192094 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD, CADC |
| License Number: | 077188 |
| Business Practice Address: | 4331 Lincoln Hwy Matteson, IL - 604432404 |
| Business Phone Number: | 6307102002 |
| Business Fax Number: | |
| Mailing Address: | 1516 Apple Grove Ln, WESTMONT |
| State: | IL |
| Postal Code: | 605593457 |
| Phone Number: | 6307102002 |
| Fax Number: | |
| NPI Enumeration Date: | 01/25/2016 |
| NPI Last Update Date: | 01/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 077188 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |