DR. Ethan H Hagen, D.C.

NPI #1801000930 in Yorkville, Illinois

Provider Information

NPI Number: 1801000930
Entity Type: Individual
Name: DR. Ethan H Hagen, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: May 9, 2007
Last Updated: Nov 14, 2007

Practice Location

Address: 604 CENTER PKWY STE C
City: Yorkville
State: Illinois
ZIP Code: 60560-1690
Phone: (630) 553-7737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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