Individual
MRS. JANE M VOGELMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 E HURON ST, SUITE 11260, CHICAGO, IL 60611
(312) 926-3470
Mailing address
676 N SAINT CLAIR ST, SUITE 2220, CHICAGO, IL 60611-2927
(312) 926-7100
(312) 926-7400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036088392
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01605971
BLUE SHIELD
—
05
—
036088392
—
IL
Enumeration date
10/31/2006
Last updated
01/08/2009
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