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Individual
DR. MICHAEL G KOGAN
Active
Individual
DR. MICHAEL G KOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036090418
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036090418
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090418
—
IL
01
—
200023140
RR MEDICARE PROV
—
01
—
207906
MEDICARE GRP MCHENRY
—
01
—
208821
MEDICARE GRP KANE
—
01
—
CE6001
RR MEDICARE GRP KANE
—
01
—
CG2631
RR MEDICARE GRP MCH
—
Enumeration date
08/29/2006
Last updated
06/26/2025
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