MEDICARE: CHRISTOPHER HOFFMAN D.C.

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	38010509	IL

General Provider Information

NPI Number	:	1730198367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER HOFFMAN D.C.

Provider Business Mailing Address
First Line	:	13551 JULIE DR
Second Line	:
City	:	POPLAR GROVE
State	:	IL
Zip	:	61065-7829
Country	:	US
Telephone Number	:	815-765-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	13551 JULIE DR
Second Line	:
City	:	POPLAR GROVE
State	:	IL
Zip	:	61065-7829
Country	:	US
Telephone Number	:	815-765-9000
Fax Number	:

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

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	07/08/2007

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