Sylvia Hoffman

Individual provider Active NPI Pediatrics Physician · Montgomery, IL

NPI 1740014729 · NPPES record last updated Aug 30, 2024

Key facts

NPI
1740014729
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
036.051540 (LA)
Practice address
11 Somerset Rd
Montgomery, IL 60538-2613
Phone
(630) 346-4212
NPI assigned
Aug 30, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
036.051540LAMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036.051540 LA Yes

Addresses

Primary practice location

11 Somerset Rd
Montgomery, IL 60538-2613

Mailing address

11 Somerset Rd
Montgomery, IL 60538-2613
Phone (630) 346-4212

Other names

  • Dr. Sylvia Granger Professional name

Other providers in Montgomery, IL

All providers in Montgomery, IL · Pediatrics Physician in Illinois

Sources for this page

Verify at the official NPI Registry.