Individual
IAN MICHAEL HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
155 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(630) 201-5919
Mailing address
719 WILLIS ST, GLEN ELLYN, IL 60137-4244
(630) 201-5919
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5
IL
Other
Enumeration date
05/21/2024
Last updated
10/20/2025
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