IndividualActive
Mitchele Hogan, MD
NPI 1063507127 · Adult Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1063507127
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 336.027529 036.06299 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
822 S Miller St
Chicago, IL 60607-4207
Phone: (312) 733-9010
Approximate (ZIP-level) locationGet directions
Mailing address
826 S Miller St
Chicago, IL 60607-4207
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2017-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.