Hoffman, Mary R

Hoffman, Mary R is an individual health care provider with primary practice located at 520 N 4Th St , Springfield IL 62702-5238. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Hoffman, Mary R can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
520 N 4Th St Springfield IL 62702-5238
Phone: (217) 545-8000
Fax: (217) 747-1351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036110636 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-110636 Illinois

Profile Details

NPI number 1316984057
LBN Legal business name Hoffman, Mary R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Dec 4th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316984057 NPPES
Illinois MEDICAID 036110636
Illinois MEDICAID 1316984057

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