Individual
MATTHEW THOMAS HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN-CNP
Contact information
Practice address
2806 N LEAVITT ST UNIT 102, CHICAGO, IL 60618-8122
(248) 894-0007
Mailing address
2806 N LEAVITT ST UNIT 102, CHICAGO, IL 60618-8122
(248) 894-0007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209028329
IL
Other
Enumeration date
10/06/2023
Last updated
12/10/2023
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