Provider Demographics
NPI:1871893347
Name:ERAHEALTH, LLC DBA VETERAN'S HEALTH
Entity type:Organization
Organization Name:ERAHEALTH, LLC DBA VETERAN'S HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:RATCLIFFE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:312-953-4178
Mailing Address - Street 1:40 E DELAWARE PL
Mailing Address - Street 2:STE 1702
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-1429
Mailing Address - Country:US
Mailing Address - Phone:312-953-4178
Mailing Address - Fax:312-337-4263
Practice Address - Street 1:40 E DELAWARE PL
Practice Address - Street 2:STE 1702
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-1439
Practice Address - Country:US
Practice Address - Phone:312-953-4178
Practice Address - Fax:312-337-4263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies