Individual
DR. ETHAN H HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
604 CENTER PKWY STE C, YORKVILLE, IL 60560-1690
(630) 553-7737
Mailing address
604 CENTER PKWY STE C, PO BOX 389, YORKVILLE, IL 60560-1690
(630) 553-7737
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
05/09/2007
Last updated
11/14/2007
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