Organization Active NPI

John M. Hagen, PC

  • Chiropractor
  • Oak Park, IL
National Provider Identifier
1003140955
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007932 Issued in IL
Legal business name
JOHN M. HAGEN, PC
Practice address
6435 North Ave Ste 115
Oak Park, IL 60302-1013
Phone
(708) 848-7766
Fax
(708) 848-5577
NPI assigned
Sep 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John M Hagen, D.C.
Title
President
Phone
(708) 848-7766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038007932 IL Primary

Addresses

Primary practice location

6435 North Ave Ste 115
Oak Park, IL 60302-1013

Mailing address

6435 North Ave Ste 115
Oak Park, IL 60302-1013

Other names 1

  • OAK PARK HEALTH CLINIC, INC. Doing business as

National Provider Directory

National Provider Directory

Locations

6435 North Ave
Ste 115
Oak Park, IL 60302
Phone (708) 848-7766

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1003140955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 NORTH AVE STE 115",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 NORTH AVE STE 115",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021013",
            "telephone_number": "708-848-7766",
            "fax_number": "708-848-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. HAGEN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-848-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAK PARK HEALTH CLINIC, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.