Individual
MR. ALONZO HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 S 5TH AVE, ORTHOTIC LAB 121-B, HINES, IL 60141-3030
(708) 202-8387
(708) 202-2008
Mailing address
5000 S 5TH AVE, ORTHOTIC LAB 121-B, HINES, IL 60141-3030
(708) 202-8387
(708) 202-2008
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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