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General NPI Number Information
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NPI Number | 1003768292
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Entity Type | Organization
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Legal Business Name | HOFFMAN OF SOUTH LOOP PLLC
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 1400 S WABASH AVE
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City | CHICAGO
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State | IL
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Zip | 60605-2993
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Country | US
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Telephone | 773-234-3220
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Fax |
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Provider Business Mailing Address
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Address Line | 443 W HURON ST
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City | CHICAGO
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State | IL
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Zip | 60654-3412
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Country | US
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Telephone | 312-267-1917
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATHAN HOFFMAN
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Credential | DDS
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Telephone | 312-505-0168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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