1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Surgery
  6. NPI Profile

ELISE BROEK HOGAN MD
NPI 1053004002
Surgery - Plastic and Reconstructive Surgery in Chicago, IL

Active since May 26, 2023PECOS Enrolled
1620 W HARRISON ST, CHICAGO, IL 60612(312) 942-5000 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elise Broek Hogan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISE BROEK HOGAN MD (NPI 1053004002) is an individual plastic and reconstructive surgery provider in Chicago, Illinois, licensed in Illinois (125.081685) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053004002
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameELISE BROEK HOGANCredential: MD
Location Address1620 W HARRISON STChicago, IL 60612-3801
Mailing Address1620 W Harrison StChicago, IL 60612-3801
Phone(312) 942-5000
Sole ProprietorNo
Enumeration DateMay 26, 2023
NPPES CertifiedMay 26, 2023
✔ NPI 1053004002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in IL · 125.081685
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1620 W HARRISON ST, Chicago, IL 60612
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elise Broek Hogan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS RIGLER
Internal Medicine
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
KABEER RAJAN MASIH MD
Radiology (Vascular & Interventional Radiology)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
MARGARET C SCHERMERHORN MD
Obstetrics & Gynecology
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
ANDREW MAX MELCHIORIS MD, MBA
Internal Medicine
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (314) 942-5000
NICOLE HALEY SULIMA DNP
Nurse Practitioner (Gerontology)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
KRINA PATEL MD
Psychiatry & Neurology (Psychiatry)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
LAYNE MITCHELL BESSA
Registered Nurse
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
COLETTE MITCHELL OT
Occupational Therapist
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elise Hogan's NPI number?

The NPI number for Elise Hogan is 1053004002. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Where is Elise Hogan located?

Elise Hogan practices at 1620 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 942-5000.

What is Elise Hogan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Elise Hogan enrolled in Medicare?

Yes. Elise Hogan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elise Hogan was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.