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Individual

MONICA KOGAN

Active
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Individual

MONICA KOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
036116750
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036116750 1
IL
01
1633878
BCBS GROUP ID#
IL
01
207067
MEDICARE LOCALITY #16
IL
01
207073
MEDICARE LOCALITY #15
IL
01
7943309
AETNA ID#
IL
Enumeration date
01/17/2006
Last updated
04/12/2021
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