IndividualActive
Alonzo Hogan
NPI 1295988087 · Orthotist · Hines, IL
Provider details
- NPI number
- 1295988087
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
5000 S 5th Ave
Orthotic Lab 121-B
Hines, IL 60141-3030
Phone: (708) 202-8387
Fax: (708) 202-2008
Mailing address
5000 S 5th Ave
Hines, IL 60141-3030
Registry dates
- Enumerated
- 2008-10-24
- Last updated
- 2008-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.