Individual
CHARLES HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 E HURON ST, FEINBERG 5-704, CHICAGO, IL 60611-2908
(312) 926-2949
Mailing address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-9797
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036107052
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409612600
—
MD
Enumeration date
05/18/2006
Last updated
04/07/2017
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