Provider Demographics
NPI:1568635043
Name:DR. JAMES HOGG & ASSOCIATES LLC
Entity Type:Organization
Organization Name:DR. JAMES HOGG & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOGG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:708-422-1900
Mailing Address - Street 1:10232 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-4602
Mailing Address - Country:US
Mailing Address - Phone:708-422-1900
Mailing Address - Fax:708-422-5281
Practice Address - Street 1:10232 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-4602
Practice Address - Country:US
Practice Address - Phone:708-422-1900
Practice Address - Fax:708-422-5281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL215279Medicare PIN