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

Dr. Jacklyn M Hagedorn, MD

Individual provider Internal Medicine Physician · NPI 1174783039

Dr. Jacklyn M Hagedorn, MD is a Pediatric Medicine in Chicago, Illinois. Graduated from Rush Medical College of Rush University in 2007, 19 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Trained at
Rush Medical College of Rush University
Licensed in
IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone: (312) 942-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 036129053 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125053105 (IL)

Record details

NPI number1174783039
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2008
Last updated in NPPESJanuary 20, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2007 (19 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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