Individual
DR. CASEY L HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4619 W 103RD ST, OAK LAWN, IL 60453-4718
(708) 229-2200
(708) 229-2233
Mailing address
4619 W 103RD ST, OAK LAWN, IL 60453-4718
(708) 229-2200
(708) 229-2233
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009033
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009033
—
IL
Enumeration date
08/30/2005
Last updated
04/21/2010
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