Basic Information
Provider Information
NPI: 1912084328
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCQUADE
FirstName: ERIKA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1424 E KATIE LN
Address2:  
City: PALATINE
State: IL
PostalCode: 600746504
CountryCode: US
TelephoneNumber: 8472556208
FaxNumber:  
Practice Location
Address1: 800 W CENTRAL RD
Address2: BEST PRACTICES-EMERGENCY DEPARTMENT
City: ARLINGTON HEIGHTS
State: IL
PostalCode: 600052349
CountryCode: US
TelephoneNumber: 8476183040
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/01/2006
LastUpdateDate: 09/13/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100X209-005233ILY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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