Active NPI
Lauren Kimberly Hofius, CSA
- Surgical Assistant
- Chicago, IL
National Provider Identifier
1114342037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 4201
- Practice address
- 4211 N Cicero Ave
#400
Chicago, IL 60641-1651 - Phone
- (773) 794-3100
- Fax
- (773) 685-4520
- NPI assigned
- Feb 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 238.000410 | IL | |
| Surgical Assistant | 246ZC0007X | 4201 | WI | Primary |
Addresses
Primary practice location
4211 N Cicero Ave
#400
Chicago, IL 60641-1651
Mailing address
4211 N Cicero Ave
#400
Chicago, IL 60641-1651
Phone (773) 794-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238.000410 | IL | MD | Surgical Assistant |
| 4201 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1114342037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 N CICERO AVE",
"address_2": "#400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606411651",
"telephone_number": "773-794-3100",
"fax_number": "773-685-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 N CICERO AVE",
"address_2": "#400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606411651",
"telephone_number": "773-794-3100",
"fax_number": "773-685-4520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFIUS",
"first_name": "LAUREN",
"middle_name": "KIMBERLY",
"name_prefix": "Ms.",
"credential": "CSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-28",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238.000410",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "WI",
"license": "4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.