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NPI Code Detail

MEDICARE: MICHAEL T HOFFMAN MD

MEDICARE: MICHAEL T HOFFMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician036097114IL

General Provider Information

NPI Number : 1396796447
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL T HOFFMAN MD
Provider Business Mailing Address
First Line : 2650 RIDGE AVE # 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-982-3175
Fax Number : 847-982-3394
Provider Business Practice Location Address
First Line : 1200 S YORK ST STE 2000
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5634
Country : US
Telephone Number : 331-221-9002
Fax Number : 331-221-2747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2006
Last Update Date : 02/03/2026

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