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Individual

DANIEL HOFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 GOOD SAMARITAN WAY, SUITE 420, MOUNT VERNON, IL 62864-2408
(618) 899-4000
(618) 899-4790
Mailing address
2 GOOD SAMARITAN WAY, SUITE 420, MOUNT VERNON, IL 62864-2408
(618) 899-4000
(618) 899-4790

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036059053
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010059220
MED RAILROAD
IL
05
036059053
IL
01
04108659
BCBS
IL
01
207988
GRP MED
IL
01
CE9335
RR GROUP
IL
Enumeration date
07/17/2006
Last updated
01/21/2013
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