Individual
DR. BRIAN OGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1002 INTERSTATE DR STE 100, CHAMPAIGN, IL 61822-1465
(217) 974-9366
(800) 801-3765
Mailing address
406 BRIERHILL RD, DEERFIELD, IL 60015-4402
(217) 974-9366
(800) 801-3765
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036101808
IL
207L00000X
Anesthesiology Physician
336-067076
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036-101808
IL
Other
Enumeration date
08/05/2006
Last updated
02/05/2025
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