Individual
MARY R HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 N 4TH ST, SPRINGFIELD, IL 62702-5238
(217) 545-8000
(217) 747-1351
Mailing address
520 N 4TH ST, PO BOX 19670, SPRINGFIELD, IL 62702-5238
(217) 545-8000
(217) 747-1351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-110636
IL
208M00000X
Hospitalist Physician
036110636
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110636
—
IL
05
—
1316984057
—
MO
Enumeration date
06/01/2006
Last updated
01/04/2025
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