Hagen, John M

Hagen, John M is an individual health care provider with primary practice located at 6435 North Ave , Oak Park IL 60302-1013. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hagen, John M can be contacted via phone (708) 848-7766.

Contact Information

Primary practice address
6435 North Ave Oak Park IL 60302-1013
Phone: (708) 848-7766
Fax: (708) 848-5577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038007932 Illinois

Profile Details

NPI number 1245307552
LBN Legal business name Hagen, John M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Oct 20th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245307552 NPPES
Illinois MEDICAID 038007932

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