Individual
HAVEN EDWARD HOFFENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25W740 JEWELL RD, WHEATON, IL 60187-2932
(630) 520-4299
Mailing address
25W740 JEWELL RD, WHEATON, IL 60187-2932
(630) 520-4299
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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