Colleen A Hagen, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1040 Woodview Rd
Burr Ridge, IL 60527-4851

Phone

(708) 579-9705

Fax

(708) 579-0346

NPI assigned

Sep 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1245333152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 WOODVIEW RD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605274851",
            "telephone_number": "708-579-9705",
            "fax_number": "708-579-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WOODVIEW RD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605274851",
            "telephone_number": "708-579-9705",
            "fax_number": "708-579-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "COLLEEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "31600057",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D14661",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Burrridge",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1040 Woodview Rd",
            "city": "Burr Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605274851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jared Asher Greenberg, M.D.
• Sarah A Gura, M.A., L.C.P.C.
• Mark Anthony Gurgone, RPH., BCNP
• Subina Gurung, M.D.
• Benjamin Gusek, PA-C
• Alison V Hahn, LCSW, CADC
• Russell Hall, MD
• Reema Hamadeh, CCC-SLP/L
• Farnaz Hamedani
• Hanger Prosthetics & Orthotics East Inc

• Specialist in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.