Provider Demographics
NPI:1801865191
Name:HOFFMAN, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3000 N HALSTED ST STE 525
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-9269
Mailing Address - Country:US
Mailing Address - Phone:773-433-3130
Mailing Address - Fax:773-433-3127
Practice Address - Street 1:3000 HALSTED ST
Practice Address - Street 2:SUITE 525
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-5902
Practice Address - Country:US
Practice Address - Phone:773-433-3130
Practice Address - Fax:773-433-3127
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036070934207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036070934Medicaid
IL200037882OtherRAILROAD MEDICARE
IL1623325OtherBLUE CROSS BLUE SHIELD
IL49128001OtherUNITED HEALTHCARE
IL49128001OtherUNITED HEALTHCARE
IL1623325OtherBLUE CROSS BLUE SHIELD