MR. Alonzo Hogan

NPI #1295988087 in Hines, Illinois

Provider Information

NPI Number
1295988087
Entity Type
Individual
Name
MR. Alonzo Hogan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Orthotist
Enumeration Date
Oct 24, 2008
Last Updated
Oct 24, 2008

Practice Location

Address
5000 S 5TH AVE
Address 2
ORTHOTIC LAB 121-B
City
Hines
ZIP Code
60141-3030
Phone
(708) 202-8387

Specialties & Taxonomy Codes

Specialty
Orthotist

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