=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538904263
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMANDA L HOFF APN-CNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/25/2024
-----------------------------------------------------
Last Update Date | 07/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 908 N ELM ST STE 110
-----------------------------------------------------
City | HINSDALE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60521-2600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-986-8770
-----------------------------------------------------
Fax | 630-986-8776
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | POB 7132960
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60677-0001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-469-9200
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 209029830
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------