Active NPI
Chest & Sleep Medicine Associates S.C.
- Pulmonary Disease Physician
- Libertyville, IL
National Provider Identifier
1780604116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036085568
- Legal business name
- CHEST & SLEEP MEDICINE ASSOCIATES S.C.
- Practice address
- 755 S Milwaukee Ave Ste 181
Libertyville, IL 60048-3267 - Phone
- (847) 855-2430
- Fax
- (847) 855-2490
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Hoffman, MD
- Title
- Owner
- Phone
- (847) 573-9031
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036085568 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 036085568 | IL | Primary |
Addresses
Primary practice location
755 S Milwaukee Ave Ste 181
Libertyville, IL 60048-3267
Mailing address
755 S Milwaukee Ave Ste 181
Libertyville, IL 60048-3267
Phone (847) 855-2430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04927890 | Other | IL | BLUE CROSS/SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040913000471 | IL | Part B Supplier - Clinic/Group Practice | 6204803059 |
Receives reassigned benefits from 8 practitioners Practice locations: Libertyville, IL |
National Provider Directory
National Provider DirectoryLocations
1117 S Milwaukee Ave
Ste B1
Libertyville, IL 60048
Phone (773) 991-3937
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Aurora, IL
- NPI 1861755498
Critical Care Medicine, IL
-
- Pulmonary Disease Physician
- Libertyville, IL
- NPI 1336454404
Critical Care Medicine, IL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686096000000",
"number": "1780604116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 S MILWAUKEE AVE STE 181",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600483267",
"telephone_number": "847-855-2430",
"fax_number": "847-855-2490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 S MILWAUKEE AVE STE 181",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600483267",
"telephone_number": "847-855-2430",
"fax_number": "847-855-2490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEST & SLEEP MEDICINE ASSOCIATES S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-573-9031",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036085568",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036085568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/SHIELD",
"identifier": "04927890",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.