| Dr Martin James Hogan, DDS | |
|
445 E Ohio St, Apt. #2509, Chicago, IL 60611-3302 | |
| (248) 434-7831 | |
| Not Available |
| Full Name | Dr Martin James Hogan |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 445 E Ohio St, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942529938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019028245 (Illinois) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 019028245 (Illinois) | Secondary |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Martin James Hogan, DDS 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 | Dr Martin James Hogan, DDS 445 E Ohio St, Apt. #2509, Chicago, IL 60611-3302 Ph: (248) 434-7831 |
Dr. Philip E Fidel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3236 W Fullerton Ave, Chicago, IL 60647 Phone: 773-276-0300 Fax: 773-252-5994 |
Theresa Westfallen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1738 W North Ave, Chicago, IL 60622 Phone: 773-276-5566 Fax: 773-276-8780 |
Dr. Justine S Gasior, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6820 S Pulaski Rd, Chicago, IL 60629 Phone: 773-581-4627 Fax: 773-581-3155 |
Dr. William Kwok Kuen Wan, M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2262 S. Wentworth Ave, 2nd Floor, Chicago, IL 60616 Phone: 312-791-1013 Fax: 312-791-1444 |
Gandy S Garcia, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3915 W 26th St, Chicago, IL 60623 Phone: 773-522-2929 Fax: 773-522-2930 |
Dr. Sodabeh Etminan, DMD Dentist Medicare: Medicare Enrolled Practice Location: 7131 S Jeffery Blvd Ste A, Chicago, IL 60649 Phone: 773-256-0526 |
Dr. Maria Borzecka, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3256 N Pulaski Rd, Chicago, IL 60641 Phone: 773-481-1900 Fax: 773-481-7003 |