Healthcare Provider Details

I. General information

NPI: 1013238310
Provider Name (Legal Business Name): SARAH HOQUE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2010
Last Update Date: 09/29/2020
Certification Date: 09/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 S CALIFORNIA AVE
CHICAGO IL
60608-2486
US

IV. Provider business mailing address

2001 S CALIFORNIA AVE
CHICAGO IL
60608-2486
US

V. Phone/Fax

Practice location:
  • Phone: 773-584-6200
  • Fax:
Mailing address:
  • Phone: 773-584-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number125.058408
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: