Healthcare Provider Details

I. General information

NPI: 1184881401
Provider Name (Legal Business Name): CHRISTOPHER P HOGREFE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2008
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E HURON ST GALTER 3-150
CHICAGO IL
60611-3197
US

IV. Provider business mailing address

201 E. HURON GALTER 3-150
CHICAGO IL
60611
US

V. Phone/Fax

Practice location:
  • Phone: 312-926-0047
  • Fax: 312-926-7260
Mailing address:
  • Phone: 312-926-0047
  • Fax: 312-926-7260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036-135932
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number39124
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number036-135932
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: