Healthcare Provider Details

I. General information

NPI: 1568224293
Provider Name (Legal Business Name): ISABELLA HOFFMAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 01/29/2024
Certification Date: 01/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 W HURON ST STE 2004
CHICAGO IL
60654-3951
US

IV. Provider business mailing address

860 W BLACKHAWK ST UNIT 2304
CHICAGO IL
60642-2514
US

V. Phone/Fax

Practice location:
  • Phone: 312-643-1555
  • Fax:
Mailing address:
  • Phone: 847-344-8842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: