Individual
KATIE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/ LDN
Contact information
Practice address
15874 E 3100 NORTH RD, BLACKSTONE, IL 61313-9649
(815) 674-5524
Mailing address
15874 E 3100 NORTH RD, BLACKSTONE, IL 61313-9649
(815) 674-5524
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164010081
IL
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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