Healthcare Provider Details

I. General information

NPI: 1811797863
Provider Name (Legal Business Name): HOFFMAN ESTATES MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 W HIGGINS RD
HOFFMAN ESTATES IL
60169-4914
US

IV. Provider business mailing address

142 W HIGGINS RD
HOFFMAN ESTATES IL
60169-4914
US

V. Phone/Fax

Practice location:
  • Phone: 847-452-1983
  • Fax:
Mailing address:
  • Phone: 847-452-1983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CHARLES LEVY
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 847-452-1983