Hogg, Melissa Ellen

Hogg, Melissa Ellen is an individual health care provider with primary practice located at 2650 Ridge Ave. Kellogg Cancer Center, Evanston IL 60201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Hogg, Melissa Ellen can be contacted via phone (847) 570-1700.

Contact Information

Primary practice address
2650 Ridge Ave. Kellogg Cancer Center Evanston IL 60201
Fax: (847) 503-4371
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036118547 Illinois

Profile Details

NPI number 1679778294
LBN Legal business name Hogg, Melissa Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Feb 10th, 2021 - about 4 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 1679778294 NPPES
Pennsylvania MEDICAID 102611519

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