Doctor Name: | ALAN D KOGAN |
NPI Number: | 1821057498 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 036-047688 |
Business Practice Address: | 800 Austin St Suite 501 Evanston, IL - 602023439 |
Business Phone Number: | 8479051001 |
Business Fax Number: | 8479051002 |
Mailing Address: | 800 Austin St, Suite 501 EVANSTON |
State: | IL |
Postal Code: | 602023439 |
Phone Number: | 8479051001 |
Fax Number: | 8479051002 |
NPI Enumeration Date: | 03/21/2006 |
NPI Last Update Date: | 12/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036-047688 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |