Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Thomas Hogan, APN-CNP

Individual provider Nurse Practitioner · NPI 1053192070

Matthew Thomas Hogan, APN-CNP is a Nurse Practitioner in Chicago, Illinois. Qualified in 2023, 3 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
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Practice location Address checks out

2806 N Leavitt St Unit 102
Chicago, IL 60618-8122
Phone: (248) 894-0007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209028329 (IL)

Record details

NPI number1053192070
Entity typeIndividual (Type 1)
GenderMale
Credentials APN-CNP
Sole proprietorYes
NPI enumeratedOctober 6, 2023
Last updated in NPPESDecember 10, 2023
Certification dateDecember 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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