John Anthony Brogan, B.C.D., L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

15300 West Ave
Suite 313
Orland Park, IL 60462-4600

Phone

(708) 226-2830

Fax

(708) 226-2621

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679509772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE",
            "address_2": "SUITE 313",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624600",
            "telephone_number": "708-226-2830",
            "fax_number": "708-226-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE",
            "address_2": "SUITE 313",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624600",
            "telephone_number": "708-226-2830",
            "fax_number": "708-226-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGAN",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "B.C.D., L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisette Brill, PT
• Raquel Tadalan Brillante, CNP
• Kimberly Brines, PTA
• Maureen Ann Brinkman, LCSW
• Ria Mara L Briz, APRN
• Charlene Brouwer
• Donald Brown, RPH
• Evita Brown
• Miariesha Brown
• Peter Ross Brown, MD

• Clinical Social Worker in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.