Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dustin Taylor Hogan

Individual provider Occupational Therapist · NPI 1306575600

Dustin Taylor Hogan is an Occupational Therapist in Bourbonnais, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

424 Anita Dr
Bourbonnais, IL 60914-1072
Phone: (405) 761-1165
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056015390 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1306575600
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2022
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023
Mailing address424 Anita Dr, Bourbonnais, IL 60914-1072

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