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NPI Code Detail

MEDICARE: DR. HEATHER HAGOPIAN MD

MEDICARE: DR. HEATHER HAGOPIAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianZZZIL

General Provider Information

NPI Number : 1851195788
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER HAGOPIAN MD
Provider Business Mailing Address
First Line : 836 W WELLINGTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5147
Country : US
Telephone Number : 773-975-1600
Fax Number :
Provider Business Practice Location Address
First Line : 355 RIDGE AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3399
Country : US
Telephone Number : 847-316-3111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2025
Last Update Date : 04/13/2026

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Directions to “ DR. HEATHER HAGOPIAN MD” Practice Location

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