Doctor Name: | MRS. ROSANNE OGGOIAN |
NPI Number: | 1043201387 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 2080A0000X |
Business Practice Address: | 50 S Milwaukee Ave Suite 203 Lake Villa, IL - 600469471 |
Business Phone Number: | 8473565747 |
Business Fax Number: | 8473565886 |
Mailing Address: | 721 N Mckinley Rd, First Floor LAKE FOREST |
State: | IL |
Postal Code: | 600451849 |
Phone Number: | 8477359330 |
Fax Number: | 8477359301 |
NPI Enumeration Date: | 11/04/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 2080A0000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |