Individual
MICHAEL HAGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 766-7334
(815) 766-9768
Mailing address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 766-7334
(815) 766-9768
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036148007
IL
Other
Enumeration date
05/09/2016
Last updated
08/03/2020
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