Organization
LINCONA MEDICAL ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE HOGSTROM M.D. (INTERNAL MEDICINE)
(773) 878-1515
Entity
Organization
Contact information
Practice address
5131 N LINCOLN AVE, CHICAGO, IL 60625-2585
(773) 878-1515
Mailing address
5131 N LINCOLN AVE, CHICAGO, IL 60625-2585
(773) 878-1515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
IL
207R00000X
Internal Medicine Physician
—
IL
208D00000X
General Practice Physician
Primary
—
IL
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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