Provider Demographics
NPI:1639803125
Name:AGUIRRE, ERIKA (MSW)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:AGUIRRE
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 1:1748 N MELVINA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60639-3920
Mailing Address - Country:US
Mailing Address - Phone:312-998-7640
Mailing Address - Fax:
Practice Address - Street 1:1748 N MELVINA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60639-3920
Practice Address - Country:US
Practice Address - Phone:312-998-7640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty