Shane C Bogner, DPT

NPI #1245978428 in Mchenry, Illinois

Provider Information

NPI Number: 1245978428
Entity Type: Individual
Name: Shane C Bogner, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: May 26, 2022
Last Updated: Aug 4, 2022

Practice Location

Address: 1733 N RICHMOND RD
City: Mchenry
State: Illinois
ZIP Code: 60051-5413
Phone: (815) 385-0730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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