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NPI 1568982742

NPI 1568982742 : INNA HOFFMAN APN : HIGHLAND PARK, IL

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General NPI Number Information
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    NPI Number           |    1568982742
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    Entity Type          |    Individual 
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    Provider Name        |    INNA HOFFMAN APN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/20/2017
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    Last Update Date     |    07/28/2025
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Provider Practice Location Address
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    Address Line         |    1729 GREEN BAY RD 
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    City                 |    HIGHLAND PARK
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    State                |    IL
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    Zip                  |    60035-3221
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    Country              |    US
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    Telephone            |    847-409-4516
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 6037 
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    City                 |    WAUCONDA
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    State                |    IL
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    Zip                  |    60084-6037
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    Country              |    US
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    Telephone            |    847-526-2151
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    Fax                  |    847-526-2017
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    277.000734
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    209016212
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    License Number State |    IL
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