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1861231722
IAN MICHAEL HOGAN
ELMHURST, IL
NPI
1861231722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 5)
Enumeration Date
2024-05-21
Last Update Date
2024-05-21
Business Address
IAN MICHAEL HOGAN PMHNP
155 E BRUSH HILL RD
ELMHURST, IL 60126-5658
Phone number: 630-201-5919
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Mailing Address
IAN MICHAEL HOGAN PMHNP
719 WILLIS ST
GLEN ELLYN, IL 60137-4244
Phone number: 630-201-5919
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