Elizabeth A Ackerson
Family Doctor
1701 Curtis Rd
Champaign
, Illinois 61822-9678
Elizabeth A Ackerson
Family Doctor
1701 Curtis Rd
Champaign
, Illinois 61822-9678
(217) 383-4846
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Elizabeth A Ackerson
- 611 W Park St
- Urbana, IL
- Zip : 61801-2529
- Phone : (217) 383-4846
Second Address
- Elizabeth A Ackerson
- 1701 Curtis Rd
- Champaign, IL
- Zip : 61822-9678
- Phone : (217) 365-6203
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 036142010 | IL |
National Provider Identifier
| NPI | 1003223470 |
|---|---|
| Provider Name | Elizabeth A Ackerson |
| First Address | Urbana, IL 61801-2529 |
| Second Address | Champaign, IL 61822-9678 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2014 |
| Last Update Date | 01/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.