Individual
COLTON HAGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(605) 860-0027
Mailing address
1435 N ROCKWELL ST APT 1, CHICAGO, IL 60622-8906
(605) 860-0027
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
125.081634
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2022
Last updated
07/07/2024
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