Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 036051245 | IL |
NPI | 1477752160 |
---|---|
Provider Name | Arthur Hoffman |
First Address | Evanston, IL 60201-1555 |
Second Address | Evanston, IL 60201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2007 |
Last Update Date | 21/04/2009 |