Organization
CHICAGO ORTHOPAEDICS AND SPORTS MEDICINE SC
Active
Other names
LINCOLN PARK PHYSICAL THERAPY INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A HOFFMAN MD (PRESIDENT)
(440) 716-0800
Entity
Organization
Contact information
Practice address
3000 N HALSTED ST, 527, CHICAGO, IL 60657-5188
(773) 328-5930
(773) 433-3145
Mailing address
3000 N HALSTED ST, #525, CHICAGO, IL 60657-5188
(773) 328-5930
(773) 433-3145
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130813301
DOL
IL
01
—
CC4422
RR MEDICARE
IL
Enumeration date
02/27/2007
Last updated
03/14/2011
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