NPI 1295988087

Alonzo Hogan

Practitioner Orthotist Hines, IL

Practice location

Address: 5000 S 5th Ave Orthotic Lab 121-B, Hines, IL 60141-3030
Phone: (708) 202-8387
Fax: (708) 202-2008

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1295988087
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2008
Record last updated: 24 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.