Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stefan Ryan Erickson

Individual provider Diagnostic Radiology Physician · NPI 1104445915

Stefan Ryan Erickson is a Diagnostic Radiology in Evanston, Illinois. Graduated from University of Chicago, Pritzker School of Medicine in 2020, 6 years ago. Practices with California Advanced Imaging Medical Associates Inc, a 82-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
University of Chicago, Pritzker School of Medicine
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

355 Ridge Ave
Evanston, IL 60202-3328
Phone: (847) 316-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 Van Ness Ave, San Francisco, CA 94109-6978 — (415) 600-3223

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A188524 (CA)

Record details

NPI number1104445915
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2020
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address1130 S Michigan Ave Apt 2709, Chicago, IL 60605-2321

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice California Advanced Imaging Medical Associates Inc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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