Individual
DR. NEIL BRUCE HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
676 N SAINT CLAIR ST STE 2280, CHICAGO, IL 60611-2920
(312) 926-2929
(312) 926-3595
Mailing address
676 N SAINT CLAIR ST STE 2280, CHICAGO, IL 60611-2920
(312) 926-2929
(312) 926-3595
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021001074
IL
Other
Enumeration date
04/19/2007
Last updated
07/16/2020
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