Healthcare Provider Details

I. General information

NPI: 1336842772
Provider Name (Legal Business Name): JULIA CHRISTINE HOGIKYAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2023
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 HARRISON ST
OAK PARK IL
60304-1533
US

IV. Provider business mailing address

4759 N MAPLEWOOD AVE APT 301
CHICAGO IL
60625-7007
US

V. Phone/Fax

Practice location:
  • Phone: 708-628-8000
  • Fax:
Mailing address:
  • Phone: 734-649-7576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6851114591
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: