Provider Demographics
NPI:1033686878
Name:VOGEL, KATRINA MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:MARIE
Last Name:VOGEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2211 N OAK PARK AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60707-3392
Mailing Address - Country:US
Mailing Address - Phone:773-622-5400
Mailing Address - Fax:773-385-5488
Practice Address - Street 1:2211 N OAK PARK AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60707-3392
Practice Address - Country:US
Practice Address - Phone:773-622-5400
Practice Address - Fax:773-385-5453
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant