Individual
DR. EVELYN HANI HOFFERICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(708) 692-9525
Mailing address
PO BOX 631, LAKE FOREST, IL 60045-0631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-129403
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129403
—
IL
01
—
F400146778
MEDICARE
IL
01
—
P01421150
MEDICARE RAILROAD
IL
Enumeration date
03/30/2009
Last updated
02/08/2024
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