Doctor Name: | DR. ANDREA ERICKSON BEST |
NPI Number: | 1740524727 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 036096838 |
Business Practice Address: | 510 Buena Rd Lake Forest, IL - 600454409 |
Business Phone Number: | 8478463414 |
Business Fax Number: | |
Mailing Address: | 510 Buena Rd, LAKE FOREST |
State: | IL |
Postal Code: | 600454409 |
Phone Number: | 8478463414 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 11/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036096838 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |