| Hagemaster Empowerment Center, Pllc | |
|
123 E 9th St Lockport IL 60441-3690 | |
| (708) 869-0333 | |
| Not Available |
| Full Name | Hagemaster Empowerment Center, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 123 E 9th St, Lockport, Illinois |
| Authorized Official Name and Position | Megan L Hagemaster (MANAGER) |
| Authorized Official Contact | 7087692689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hagemaster Empowerment Center, Pllc 17150 S Mccarron Rd Homer Glen IL 60491-8251 Ph: (708) 769-2689 | Hagemaster Empowerment Center, Pllc 123 E 9th St Lockport IL 60441-3690 Ph: (708) 869-0333 |
| NPI Number | 1457945503 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Medicare PECOS PAC ID | 5799170981 |
|---|---|
| Medicare Enrollment ID | O20220325001013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457945503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Megan Hagemaster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316328859 PECOS PAC ID: 6608261896 Enrollment ID: I20220325001059 |
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