Kogan, Michael G

Kogan, Michael G is an individual health care provider with primary practice located at 2350 Royal Blvd Suite 200, Elgin IL 60123-4719. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Kogan, Michael G can be contacted via phone (847) 931-5300.

Contact Information

Primary practice address
2350 Royal Blvd Suite 200 Elgin IL 60123-4719
Phone: (847) 931-5300
Fax: (847) 931-9072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036090418 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036090418 Illinois

Profile Details

NPI number 1730297789
LBN Legal business name Kogan, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Dec 10th, 2021 - about 3 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 1730297789 NPPES
Other 200023140 RR MEDICARE PROV
Other 207906 RR MEDICARE PROV
Other 208821 RR MEDICARE PROV
Other CG2631 RR MEDICARE PROV
MEDICAID 036090418 RR MEDICARE PROV
Other CE6001 RR MEDICARE PROV

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