Provider Demographics
NPI:1629262746
Name:HOFFMAN BARRINGTON INTERNAL MEDICINE SPECIALISTS
Entity Type:Organization
Organization Name:HOFFMAN BARRINGTON INTERNAL MEDICINE SPECIALISTS
Other - Org Name:HOFFMAN BARRINGTON INTERNAL MEDICINE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SMALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-843-7404
Mailing Address - Street 1:1555 BARRINGTON RD
Mailing Address - Street 2:DOCTORS BUILDING ONE SUITE 230
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1019
Mailing Address - Country:US
Mailing Address - Phone:847-843-7404
Mailing Address - Fax:847-843-0030
Practice Address - Street 1:1555 BARRINGTON RD
Practice Address - Street 2:DOCTORS BUILDING ONE SUITE 230
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1019
Practice Address - Country:US
Practice Address - Phone:847-843-7404
Practice Address - Fax:847-843-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC40331Medicare PIN
CF3023Medicare PIN
ILP04700Medicare UPIN