Individual
MICHAEL DARRYL HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.F.
Contact information
Practice address
7640 PLAZA CT, WILLOWBROOK, IL 60527-5607
(630) 686-3922
(630) 566-5939
Mailing address
7640 PLAZA CT, WILLOWBROOK, IL 60527-5607
(630) 686-3922
(630) 566-5939
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623063
BLUE CROSS PROVIDER NUMBE
IL
Enumeration date
02/22/2007
Last updated
12/05/2018
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