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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: July 19, 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
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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


The following 20 providers are registered at the same or a nearby location.

MELISSA MARIE RICE M.D.
Emergency Medicine
1620 W HARRISON ST, DEPT. OF EMERGENCY MEDICINE TOWER
CHICAGO, IL 60612
Cook County (312) 947-0229
THOMAS RYAN ALCORN M.D.
Emergency Medicine
1620 W HARRISON ST, DEPARTMENT OF EMERGENCY MEDICINE
CHICAGO, IL 60612
Cook County (312) 947-0100
MS. ELLEN LEON CARBONELL LCSW
Social Worker (Clinical)
1620 W HARRISON ST, TOWER RESOURCE CENTER, STE 04527
CHICAGO, IL 60612
Cook County (312) 947-4448
MAXIME MONTOUR MD
Student in an Organized Health Care Education/Training Program
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
JESSICA DENISE COZZI MSN, RN
Registered Nurse (Pediatrics)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
COURTNEY SUSTERICH MS, RDN, LDN, CNSC
Dietitian, Registered
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
STEFANNI ANDERSON
Registered Nurse (Neonatal Intensive Care)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 947-8800
DR. ELIZABETH SUSAN O'NEILL MD MPH
Plastic Surgery
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (610) 704-5060
TAVIA BUYSSE MD
Internal Medicine
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
CARL PETT MD
Internal Medicine
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
ASHWIN N REDDI MD
Psychiatry & Neurology (Neurology)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (888) 352-7874
CAMERON CALLOWAY MD
Psychiatry & Neurology (Psychiatry)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
SHELBY SMITH
Orthopaedic Surgery
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
THOMAS WALLER
Internal Medicine (Infectious Disease)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
RAYMOND VINCENT GARAY
Nurse Practitioner (Neonatal, Critical Care)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (888) 352-7874
SONYA CHOKSHI REDDY MD
Anesthesiology
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
CAMALEIGH JABER MD
Surgery
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (708) 870-8830
CALE JENKS WARDELL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
GREGORY MARTIN KASSON CRNA
Nurse Anesthetist, Certified Registered
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
TIMOTHY A CLINTON DNP, AGACNP-BC, APRN
Nurse Practitioner (Acute Care)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-7376

Frequently Asked Questions

What is Elise Hogan's NPI number?

The NPI number assigned to this healthcare provider is 1053004002, enumerated as an "individual" on May 26, 2023.

Where is the provider located?

The provider is located at 1620 W HARRISON ST CHICAGO, IL 60612 and the phone number is (312) 942-5000.

What is the provider's specialty?

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.