Provider Demographics
NPI:1376620153
Name:HEDLIN, ERIN WEBER (MS CCC SLP L)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:WEBER
Last Name:HEDLIN
Suffix:
Gender:F
Credentials:MS CCC SLP L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 W HAWTHORNE PL
Mailing Address - Street 2:# 1503
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-2907
Mailing Address - Country:US
Mailing Address - Phone:201-320-3114
Mailing Address - Fax:484-210-2342
Practice Address - Street 1:525 W HAWTHORNE PL
Practice Address - Street 2:# 1503
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-2907
Practice Address - Country:US
Practice Address - Phone:201-320-3114
Practice Address - Fax:484-210-2342
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist