Individual
DR. MATTHEW R HAGERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1460 N HALSTED ST STE 504, CHICAGO, IL 60642-2613
(312) 926-3627
(312) 926-3231
Mailing address
1215 LEE ST, MAIL STOP 800499, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036169109
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
01/31/2025
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