Provider Demographics
NPI:1336473412
Name:HOFFMAN, LINDSAY ELIZABETH (OT)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ELIZABETH
Last Name:HOFFMAN
Suffix:
Gender:
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:POB 7132960
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-0001
Mailing Address - Country:US
Mailing Address - Phone:630-469-9200
Mailing Address - Fax:
Practice Address - Street 1:102 W JEFFERSON ST UNIT D
Practice Address - Street 2:
Practice Address - City:SHOREWOOD
Practice Address - State:IL
Practice Address - Zip Code:60404-9502
Practice Address - Country:US
Practice Address - Phone:630-967-2000
Practice Address - Fax:630-355-6216
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056008670225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00915430OtherMEDICARE RAILROAD
ILP00915430OtherMEDICARE RAILROAD
IL202845171Medicare PIN