| Doctor Name: | ERIN E MICKLINGHOFF |
| NPI Number: | 1356694335 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | 209.009783 |
| Business Practice Address: | 22285 N Pepper Rd Ste 311 Lake Barrington, IL - 600102541 |
| Business Phone Number: | 8473824410 |
| Business Fax Number: | 8473824451 |
| Mailing Address: | 22285 N Pepper Rd Ste 311, LAKE BARRINGTON |
| State: | IL |
| Postal Code: | 600102541 |
| Phone Number: | 8473824410 |
| Fax Number: | 8473824451 |
| NPI Enumeration Date: | 10/16/2012 |
| NPI Last Update Date: | 10/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 209.009783 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |