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NPI Code Detail

MEDICARE: DR. JAMES WINSTON BOGENER M.D.

MEDICARE: DR. JAMES WINSTON BOGENER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0004XOrthopaedic Foot and Ankle Surgery Physician2007018003MO
2207XX0004XOrthopaedic Foot and Ankle Surgery Physician04-33092KS
3207XX0004XOrthopaedic Foot and Ankle Surgery Physician036157880IL

General Provider Information

NPI Number : 1669417416
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES WINSTON BOGENER M.D.
Provider Business Mailing Address
First Line : 9650 GROSS POINT RD STE 2900
Second Line :
City : SKOKIE
State : IL
Zip : 60076-5006
Country : US
Telephone Number : 847-866-7846
Fax Number :
Provider Business Practice Location Address
First Line : 9650 GROSS POINT RD STE 2900
Second Line :
City : SKOKIE
State : IL
Zip : 60076-5006
Country : US
Telephone Number : 847-866-7846
Fax Number : 224-251-2910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 08/23/2021

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