Individual
MS. LINDA ANN HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1830 SHERMAN AVE, STE 303, EVANSTON, IL 60201-3798
(847) 491-1399
Mailing address
6157 N SHERIDAN RD, APT 3K, CHICAGO, IL 60660-2770
(773) 764-3170
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149003875
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001626774
BCBS OF IL
IL
Enumeration date
09/13/2005
Last updated
07/15/2010
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