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Contact Information

ALONZO HOGAN
5000 S 5TH AVE
ORTHOTIC LAB 121-B
HINES, IL60141-3030
 Phone: 708-202-8387
 Fax: 708-202-2008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthotist

222Z00000X 55 Individual Certified Orthotist
Indicates primary specialty

NPI Profile & details for ALONZO HOGAN · (Male)

NPI Number 1295988087
Status Active
Credentials
Entity Individual
Enumeration date 10/24/2008
Last updated 10/24/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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