Search › Illinois › General Practice Dentistry
Carlton Hagstrom, D.D.S
NPI 1144243585 · on the registry since 2006 · sole proprietor
Practice
- Address
- 208 S Us Highway 12
Fox Lake, IL 60020 - Phone
- (847) 587-5400
- Fax
- (847) 587-5400
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois