Individual
SYDNEY KOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1725 W HARRISON ST STE 425, CHICAGO, IL 60612-3893
(312) 563-3000
(312) 942-2514
Mailing address
1725 W HARRISON ST STE 425, CHICAGO, IL 60612-3893
(312) 563-3000
(312) 942-2514
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085005687
IL
Other
Enumeration date
10/15/2015
Last updated
02/24/2020
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