Provider Demographics
NPI:1548873888
Name:VILLAGE OF HOFFMAN ESTATES
Entity type:Organization
Organization Name:VILLAGE OF HOFFMAN ESTATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-781-4853
Mailing Address - Street 1:1900 HASSELL RD
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-6308
Mailing Address - Country:US
Mailing Address - Phone:847-781-4850
Mailing Address - Fax:847-781-4869
Practice Address - Street 1:1900 HASSELL RD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-6308
Practice Address - Country:US
Practice Address - Phone:847-781-4850
Practice Address - Fax:847-781-4869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)