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NPI Code Detail

MEDICARE: HOFFMAN OF SOUTH LOOP PLLC

MEDICARE: HOFFMAN OF SOUTH LOOP PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1003768292
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOFFMAN OF SOUTH LOOP PLLC
Provider Business Mailing Address
First Line : 443 W HURON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60654-3412
Country : US
Telephone Number : 312-267-1917
Fax Number :
Provider Business Practice Location Address
First Line : 1400 S WABASH AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60605-2993
Country : US
Telephone Number : 773-234-3220
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NATHAN HOFFMAN
Credential : DDS
Telephone Number : 312-505-0168
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “HOFFMAN OF SOUTH LOOP PLLC ” Practice Location

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