Dr. Mitchele Hogan
Family Doctor - Adult Medicine
822 S Miller St
Chicago
, Illinois 60607-4207
Dr. Mitchele Hogan
Family Doctor - Adult Medicine
822 S Miller St
Chicago
, Illinois 60607-4207
(312) 733-9010
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Mitchele Hogan
- 826 S Miller St
- Chicago, IL
- Zip : 60607-4207
- Phone : (312) 733-9010
Second Address
- Dr. Mitchele Hogan
- 822 S Miller St
- Chicago, IL
- Zip : 60607-4207
- Phone : (312) 733-9010
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 336.027529 036.06299 | IL |
National Provider Identifier
| NPI | 1063507127 |
|---|---|
| Provider Name | Dr. Mitchele Hogan |
| First Address | Chicago, IL 60607-4207 |
| Second Address | Chicago, IL 60607-4207 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2006 |
| Last Update Date | 01/06/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036062994 | (05) | IL |
| C25481 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.