Crystal L Bogan
Crystal L Bogan is a Community Health Worker in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2025
Practice location Address checks out
438 E 40th St Apt BChicago, IL 60653-4983
Phone: (773) 887-0729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X · Licence 126200888 (IL) |
|---|
Record details
| NPI number | 1174333041 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 13, 2025 |
| Last updated in NPPES | January 13, 2025 |
| Certification date | January 12, 2025 |
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