Individual
MRS. ELIZABETH M. HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3937 W 102ND PL, CHICAGO, IL 60655-3740
(708) 908-0527
Mailing address
3937 W 102ND PL, CHICAGO, IL 60655-3740
(708) 908-0527
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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