IndividualActive
Brandon Hage
NPI 1417485947 · Child & Adolescent Psychiatry Physician · Chicago, IL
Provider details
- NPI number
- 1417485947
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036160942 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
912 S Wood St
Chicago, IL 60612-4300
Phone: (312) 355-3016
Approximate (ZIP-level) locationGet directions
Mailing address
912 S Wood St
Chicago, IL 60612-4300
Registry dates
- Enumerated
- 2017-05-29
- Last updated
- 2022-08-31
- Certified
- 2022-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.