Provider Demographics
NPI:1235570516
Name:HAGEMAN, ERIN WEIR (MSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:WEIR
Last Name:HAGEMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7420 W ARCHER AVE
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:IL
Mailing Address - Zip Code:60501-1218
Mailing Address - Country:US
Mailing Address - Phone:708-745-5277
Mailing Address - Fax:708-458-9179
Practice Address - Street 1:7420 W ARCHER AVE
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:IL
Practice Address - Zip Code:60501-1218
Practice Address - Country:US
Practice Address - Phone:708-745-5277
Practice Address - Fax:708-458-9179
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-15
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker