Dr. Barry James Hoffman, PhD
Psychologist, Clinical in Gurnee, IL. Individual provider (NPI-1).
NPI number1720117641
StatusActive
Last updated in NPPESSep 28, 2007
Details
- NPI
- 1720117641
- Entity type
- Individual (NPI-1)
- Name
- Dr. Barry James Hoffman
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2007
- Last updated
- Sep 28, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071004837 | IL | Yes |
Practice location
4212 Old Grand AveSuite 102
Gurnee, IL 60031-2708
Phone 847-336-5621 · Fax 847-336-2594
Mailing address
4212 Old Grand AveSuite 102
Gurnee, IL 60031-2708
Phone 847-336-5621 · Fax 847-336-2594
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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