Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Eric Michael Hagen, DMD

Individual provider General Practice Dentistry · NPI 1407415995

Dr. Eric Michael Hagen, DMD is a General Practice Dentistry in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5505 N Clark St
Chicago, IL 60640-1213
Phone: (773) 365-9928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.032150 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019.032150 (IL)

Record details

NPI number1407415995
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 10, 2019
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address2025 Oxnard Dr, Downers Grove, IL 60516-2514

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