Basic Information
| Provider Information | |||||||||
| NPI: | 1801382510 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JANG | ||||||||
| FirstName: | ERIKA | ||||||||
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| Credential: | APRN, CNM, WHNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2323 S WENTWORTH AVE | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606164615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3125672900 | ||||||||
| FaxNumber: | 3128420100 | ||||||||
| Practice Location | |||||||||
| Address1: | 2323 S WENTWORTH AVE | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606164615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3125672900 | ||||||||
| FaxNumber: | 3128420100 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2018 | ||||||||
| LastUpdateDate: | 12/29/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 209017947 | IL | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 367A00000X | 209017947 | IL | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.