DR. MARY ELIZABETH HOGAN (NPI# 1851496764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851496764 |
| Entity Type | Individual |
| Full Name | DR. MARY ELIZABETH HOGAN |
| Other Name | DR. MARY ELIZABETH DOEDERLEIN |
| Credential | DC |
| Practice Address |
917 S Main St Lombard IL 60148-3347 |
| Practice Telephone | 6309329663 |
| Practice Fax Number | 6306201901 |
| Mailing Telephone | 6309329663 |
| Mailing Fax Number | 6306201901 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038003995 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PA038003995 | 05 | |
| IL | BCBS | 0002205085 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407389588 | Mary Hogan | Licensed Practical Nurse | 48 Fitch Ave, Auburn, NY 13021-4708 | 2017-04-06 |
| 1023010964 | Mary P Hogan | Obstetrics & Gynecology | 1005 Division St, Prescott, AZ 86301-1601 | 2005-08-11 |
| 1427694454 | Mary Christine Hogan | Nurse Practitioner | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2019-11-25 |
| 1629631478 | Mary Clare Hogan | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-04-17 |
| 1750844056 | Mary Melissa Hogan | Counselor | 482 S Keller Rd, Orlando, FL 32810-6130 | 2019-04-12 |
| 1033580980 | Mary Hogan | Physical Therapist | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2015-10-16 |
| 1023286267 | Mary Hogan | Counselor | 112 E Chestnut St, Chicago, IL 60611-2014 | 2008-02-11 |
| 1376602136 | Mary A Hogan | Physical Therapist | 21 E Maple St, Suite D, Hailey, ID 83333-8401 | 2006-12-07 |
| 1932147808 | Mary Lynn Hogan | Family Medicine | 1240 N Butterfield Rd, Bolivar, MO 65613-3016 | 2006-06-03 |
| 1124093984 | Mary Mauricella Hogan | Social Worker | 200 2nd Ave Sw, Miami, OK 74354-6830 | 2006-02-22 |
| Street Address |
917 S MAIN ST |
| City | LOMBARD |
| State | IL |
| Zip Code | 60148-3347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624931 | Spark Counseling Pllc | Clinic/Center | 917 S Main St, Lombard, IL 60148-3347 | 2020-06-25 |
| 1154664704 | Jennifer Tewell | Counselor | 917 S Main St, Lombard, IL 60148-3347 | 2013-04-02 |
| 1083977896 | Kiley E Fletcher | Chiropractor | 917 S Main St, Lombard, IL 60148-3347 | 2012-06-18 |
| 1841376233 | William J Hogan | Chiropractor | 917 S Main St, Lombard, IL 60148-3347 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
| 1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
| 1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
| 1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
| 1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
| 1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
| 1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
| 1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
| 1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
| 1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
| Find all providers in zip 60148 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264707 | Christopher M Hartman | Chiropractor | 403 W Harrison Rd, Lombard, IL 60148-3215 | 2020-01-11 |
| 1548713373 | Clinton Orsini | Chiropractor | 555 E Butterfield Rd Ste 120, Lombard, IL 60148-5680 | 2016-07-28 |
| 1528419611 | Amandeep Sangha | Chiropractor | 1080 Foxworth Blvd, Lombard, IL 60148-4818 | 2016-06-29 |
| 1649673518 | Lacey Ebert | Chiropractor | 1263 S Highland Ave Ste 1d, Lombard, IL 60148-4572 | 2014-10-06 |
| 1184023046 | Yuri Korvatko | Chiropractor | 2015 S Finley Rd Apt 605, Lombard, IL 60148-4850 | 2014-08-17 |
| 1407131386 | Jennifer Ma | Chiropractor | 200 East Roosevelt Rd, Lombard, IL 60148 | 2011-10-11 |
| 1093023640 | Kateri Ashvin Porto | Chiropractor | 2720 South Highland Ave, Suite 767, Lombard, IL 60148-4539 | 2010-09-16 |
| 1699910638 | Anna Rodecki | Chiropractor | 1313 S Rebecca Rd # 216, Lombard, IL 60148-4439 | 2008-12-04 |
| 1760652077 | Michael James Lotito | Chiropractor | 61 S Highland Ave, Lombard, IL 60148-3042 | 2008-03-04 |
| 1619162823 | Joseph Paul Stiefel | Chiropractor | 837 S Westmore Ave, Suite 12, Lombard, IL 60148-3724 | 2007-09-11 |
| Find all providers in LOMBARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.