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NPI 1871731497

NPI 1871731497 : HOEKSTRA CHIROPRACTIC LLC JEFFREY R HOEKSTRA SOLE MBR : TINLEY PARK, IL

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General NPI Number Information
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    NPI Number           |    1871731497
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOEKSTRA CHIROPRACTIC LLC JEFFREY R HOEKSTRA SOLE MBR 
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Dates
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    Enumeration Date     |    02/04/2009
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    17314 OAK PARK AVE 
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    City                 |    TINLEY PARK
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    State                |    IL
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    Zip                  |    60477-3404
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    Country              |    US
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    Telephone            |    708-444-4344
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    Fax                  |    708-263-4478
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Provider Business Mailing Address
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    Address Line         |    17314 OAK PARK AVE 
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    City                 |    TINLEY PARK
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    State                |    IL
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    Zip                  |    60477-3404
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    Country              |    US
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    Telephone            |    708-444-4344
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    Fax                  |    708-263-4478
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. JEFFREY R HOEKSTRA 
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    Credential           |    D.C.
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    Telephone            |    708-444-4344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    038010694
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    License Number State |    IL
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