Individual
DR. JACOB BACKHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
101 W UNIVERSITY AVE, STE 102, CHAMPAIGN, IL 61820-3909
(217) 366-1278
(217) 366-6897
Mailing address
101 W UNIVERSITY AVE, STE 102, CHAMPAIGN, IL 61820-3909
(217) 366-1278
(217) 366-6897
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051297980
IL
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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