Provider Demographics
NPI:1568224293
Name:HOFFMAN, ISABELLA (DPT)
Entity Type:Individual
Prefix:
First Name:ISABELLA
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 W BLACKHAWK ST UNIT 2304
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-2514
Mailing Address - Country:US
Mailing Address - Phone:847-344-8842
Mailing Address - Fax:
Practice Address - Street 1:220 W HURON ST STE 2004
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-3951
Practice Address - Country:US
Practice Address - Phone:312-643-1555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist