Individual
DR. JOHN M HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6435 NORTH AVE, OAK PARK, IL 60302-1013
(708) 848-7766
(708) 848-5577
Mailing address
6435 NORTH AVE, OAK PARK, IL 60302-1013
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007932
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038007932
—
IL
Enumeration date
11/29/2006
Last updated
10/20/2009
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