Hogan, Mary
Hogan, Mary is an sole proprietor health care provider with primary practice located at 112 E Chestnut St , Chicago IL 60611-2014. She recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as her primary health care specialty. Hogan, Mary can be contacted via phone (312) 787-8425.Contact Information
Primary practice address
112 E Chestnut St
Chicago IL 60611-2014
Phone: (312) 787-8425
Fax: (312) 943-4459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X |
Profile Details
| NPI number | 1023286267 |
|---|---|
| LBN Legal business name | Hogan, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2008 |
| Last updated | Feb 11th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023286267 | NPPES |
| Illinois | Other | 02215636 | BCBS |
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