Hogan, Mitchele

Hogan, Mitchele is an individual health care provider with primary practice located at 822 S Miller St , Chicago IL 60607-4207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Hogan, Mitchele can be contacted via phone (312) 733-9010.

Contact Information

Primary practice address
822 S Miller St Chicago IL 60607-4207
Phone: (312) 733-9010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 336.027529 036.06299 Illinois

Profile Details

NPI number 1063507127
LBN Legal business name Hogan, Mitchele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jun 1st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063507127 NPPES
Illinois MEDICAID 036062994

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