Individual
CHARLES OGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(773) 880-9722
(312) 766-4917
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036149604
IL
207RC0000X
Cardiovascular Disease Physician
22777
WI
Other
Enumeration date
05/23/2016
Last updated
07/28/2025
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