Individual provider · Type 1 NPI

Elise Broek Hogan, MD

Plastic and Reconstructive Surgery Physician · Chicago, IL

NPI number 1053004002 Active

Practice location

1620 W Harrison St
Chicago, IL 60612-3801

Call (312) 942-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122X125.081685 (IL)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1053004002

Elise Broek Hogan, MD's National Provider Identifier is 1053004002, issued on May 26, 2023. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Chicago, IL. The record was last updated on May 26, 2023.