Colleen A Hagen in Burr Ridge - Specialist

Colleen A Hagen - NPI 1245333152

Colleen A Hagen is a Specialist in Burr Ridge, Illinois. Colleen A Hagen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Colleen A Hagen is 1245333152. The last update date is 2021-10-25.

Colleen A Hagen's current location address is 1040 Woodview Rd, Burr Ridge, Illinois. You can contact this provider via phone number 7085799705 and fax number 7085790346. The mailing address for Colleen A Hagen is 1040 Woodview Rd, Burr Ridge, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Colleen A Hagen
Address 1040 Woodview Rd, Burr Ridge, Illinois
Phone Number 7085799705
Fax Number 7085790346
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1245333152
Provider Enumeration Date 2006-09-06
Last Updated Date 2021-10-25

Provider Mailing Address Detail

Address 1040 Woodview Rd
City Burr Ridge
State Illinois (IL)
Post Code 605274851
Phone Number 7085799705
Fax Number 7085790346

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
31600057 IL BC/BS
D14661 IL --

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FAQs about Colleen A Hagen

What is the Colleen A Hagen's unique identification number?

The Colleen A Hagen has been assigned the NPI (National Provider Identifier) Number 1245333152 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Colleen A Hagen's facilities are situated?

The facilities of Colleen A Hagen are physically located at the following address: 1040 Woodview Rd, Burr Ridge, IL, 605274851.

What is the Colleen A Hagen's area of specialization and corresponding taxonomy classification?

The Colleen A Hagen's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

When was the Colleen A Hagen's 1245333152 issued?

The Colleen A Hagen's 1245333152 was issued on 2006-09-06.

As of what date was the information pertaining to Colleen A Hagen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Colleen A Hagen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-10-25.

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