Organization
HOFFMAN CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW P HOFFMAN DC CCSP (PRESIDENT OWNER)
(815) 937-0446
Entity
Organization
Contact information
Practice address
662 N CONVENT ST, BOURBONNAIS, IL 60914
(815) 937-0446
(815) 937-0487
Mailing address
662 N CONVENT ST, BOURBONNAIS, IL 60914
(815) 937-0446
(815) 937-0487
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007367
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04622727
BCBS
IL
Enumeration date
10/24/2006
Last updated
03/29/2011
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