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NPI Code Detail

MEDICARE: ERIN BOGDONAS

MEDICARE: ERIN BOGDONAS
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
1104100000XSocial Worker150.118526IL

General Provider Information

NPI Number : 1932058955
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN BOGDONAS
Provider Business Mailing Address
First Line : 3019 N PERRYVILLE RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61114-8016
Country : US
Telephone Number : 815-975-3330
Fax Number : 779-423-1761
Provider Business Practice Location Address
First Line : 3019 N PERRYVILLE RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61114-8016
Country : US
Telephone Number : 815-975-3330
Fax Number : 779-423-1761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ ERIN BOGDONAS ” Practice Location

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