MEDICARE: DR. JEFFREY ROBERT HOEKSTRA DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038-010694	IL

General Provider Information

NPI Number	:	1235226788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY ROBERT HOEKSTRA DC

Provider Business Mailing Address
First Line	:	8518 RADCLIFFE RD
Second Line	:
City	:	TINLEY PARK
State	:	IL
Zip	:	60487-2147
Country	:	US
Telephone Number	:	708-373-7228
Fax Number	:

Provider Business Practice Location Address
First Line	:	16750 80TH AVE
Second Line	:
City	:	TINLEY PARK
State	:	IL
Zip	:	60477-3173
Country	:	US
Telephone Number	:	708-633-4541
Fax Number	:	708-633-4549

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	03/06/2015

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