Healthcare Provider Details

I. General information

NPI: 1992242374
Provider Name (Legal Business Name): ERIN HOFFMAN L.C.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2017
Last Update Date: 01/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10617 FLEET ST
WESTCHESTER IL
60154-5124
US

IV. Provider business mailing address

10617 FLEET ST
WESTCHESTER IL
60154-5124
US

V. Phone/Fax

Practice location:
  • Phone: 630-487-7089
  • Fax:
Mailing address:
  • Phone: 630-487-7089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.010586
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: