Hogan, Jamie N

Hogan, Jamie N is an individual health care provider with primary practice located at 10320 S Cicero Ave , Oak Lawn IL 60453-4702. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hogan, Jamie N can be contacted via phone (708) 229-2200.

Contact Information

Primary practice address
10320 S Cicero Ave Oak Lawn IL 60453-4702
Phone: (708) 229-2200
Fax: (708) 229-2200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3027 Wisconsin
Eye and Vision Services Providers / Optometrist 152W00000X OPC3899 Florida
Eye and Vision Services Providers / Optometrist 152W00000X 046009495 Illinois

Profile Details

NPI number 1750320826
LBN Legal business name Hogan, Jamie N
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Apr 11th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750320826 NPPES
Wisconsin MEDICAID 38627100

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