Provider Demographics
NPI:1861561144
Name:HOFFMAN, KATIE L (DPT)
Entity type:Individual
Prefix:MS
First Name:KATIE
Middle Name:L
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:RULE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:2300 N CHILDRENS PLZ # 142
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-3363
Mailing Address - Country:US
Mailing Address - Phone:773-327-2880
Mailing Address - Fax:773-327-0547
Practice Address - Street 1:ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL
Practice Address - Street 2:225 E CHICAGO AVENUE
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-227-6440
Practice Address - Fax:312-227-9426
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.013537225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist