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Jerome Bogan
NPI 1457738445 · on the registry since 2015
Practice
- Address
- 1801 Fox Dr
Champaign, IL 61820 - Phone
- (217) 398-8080
- Organisation at this address
- Rosecrance Inc
Rosecrance Inc
Community Elements Inc
Community Elements Inc
Crosspoint Human ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 122
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Sex
- Male
- Record last updated
- 2015-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois