Individual
KRISTA HOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 MCHENRY RD, BUFFALO GROVE, IL 60089-1705
(847) 537-5000
Mailing address
107 SOUTHFIELD DR, VERNON HILLS, IL 60061-3276
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009178
IL
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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