Individual
DR. PAUL KOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1418 CROSS ST, DIV SURG UROLOGY, STE 180, SHILOH, IL 62269-2914
(314) 362-8200
(833) 210-5713
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-8200
(833) 210-5713
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036156535
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200095837
—
MO
Enumeration date
05/15/2012
Last updated
04/21/2025
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