Provider Demographics
NPI:1982935482
Name:HOFFMAN, ROBIN (MS, RDMS, RVT,)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MS, RDMS, RVT,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 ALFT LN STE 100
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60124-8090
Mailing Address - Country:US
Mailing Address - Phone:630-797-0985
Mailing Address - Fax:888-987-8744
Practice Address - Street 1:472 BRIARGATE DR
Practice Address - Street 2:107
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-2225
Practice Address - Country:US
Practice Address - Phone:630-425-0088
Practice Address - Fax:888-987-8744
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-22
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL4434Medicaid