Provider Demographics
NPI:1336360296
Name:VOGEL, ANN E (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:E
Last Name:VOGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:99 PARK AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CLARENDON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60514-1492
Mailing Address - Country:US
Mailing Address - Phone:630-455-7000
Mailing Address - Fax:
Practice Address - Street 1:99 PARK AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:CLARENDON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60514-1492
Practice Address - Country:US
Practice Address - Phone:630-455-7000
Practice Address - Fax:708-763-5550
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2021-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036101259207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILPENDINGOtherCREDENTIALING