Healthcare Provider Details

I. General information

NPI: 1023235611
Provider Name (Legal Business Name): ALLISON E HOFFMAN M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 NORTH WESTMORELAND ROAD
LAKE FOREST IL
60045
US

IV. Provider business mailing address

1734 VICTOR TERR
GURNEE IL
60031
US

V. Phone/Fax

Practice location:
  • Phone: 847-535-6872
  • Fax:
Mailing address:
  • Phone: 847-625-9984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: