Healthcare Provider Details

I. General information

NPI: 1790752871
Provider Name (Legal Business Name): ERIN F HARDIES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN A FLANAGAN MD

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 W 95TH ST
OAK LAWN IL
60453-2600
US

IV. Provider business mailing address

4440 W 95TH ST
OAK LAWN IL
60453-2600
US

V. Phone/Fax

Practice location:
  • Phone: 708-684-4280
  • Fax:
Mailing address:
  • Phone: 630-684-4280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036-095907
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2080H0002X
TaxonomyPediatric Hospice and Palliative Medicine Physician
License Number14208210-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: