Provider Demographics
NPI:1356141642
Name:ROSALES, ERIKA D (NBC-HWC)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:D
Last Name:ROSALES
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9649 S KEDZIE AVE APT 4A
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-3176
Mailing Address - Country:US
Mailing Address - Phone:708-986-2629
Mailing Address - Fax:708-986-2629
Practice Address - Street 1:9649 S KEDZIE AVE APT 4A
Practice Address - Street 2:
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-3176
Practice Address - Country:US
Practice Address - Phone:708-986-2629
Practice Address - Fax:708-986-2629
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty