Healthcare Provider Details

I. General information

NPI: 1518647593
Provider Name (Legal Business Name): LYNDSAY TAYLER HOFFMAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 07/24/2023
Certification Date: 07/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 W RAND RD
ARLINGTON HEIGHTS IL
60004-3132
US

IV. Provider business mailing address

304 S WILSHIRE LN
ARLINGTON HEIGHTS IL
60004-6741
US

V. Phone/Fax

Practice location:
  • Phone: 310-995-5293
  • Fax:
Mailing address:
  • Phone: 310-995-5293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number209027493
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: