Provider Demographics
NPI:1679093421
Name:HOFFMAN, MARK (LPC)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2035 N FREMONT ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-4311
Mailing Address - Country:US
Mailing Address - Phone:312-283-5700
Mailing Address - Fax:312-940-9005
Practice Address - Street 1:1113 S MILWAUKEE AVE STE 104
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-3759
Practice Address - Country:US
Practice Address - Phone:847-748-0385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-22
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178004042101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health