Individual
AMY COGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10590 N MERIDIAN ST STE 105, CARMEL, IN 46290-1028
(317) 583-7800
Mailing address
12251 S 80TH AVE STE 1520, PALOS HEIGHTS, IL 60463-1290
(708) 923-4200
(708) 923-4201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008955
IL
363A00000X
Physician Assistant
50.005054RX
OH
363A00000X
Physician Assistant
PA9117662
FL
363AS0400X
Surgical Physician Assistant
10004787A
IN
Other
Enumeration date
04/05/2017
Last updated
03/27/2025
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