Individual
DR. JOHN R HOFFMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 W. CURTIS RD., URBANA, IL 61822-9678
(217) 365-6201
(217) 326-4003
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01047441A
IN
207Q00000X
Family Medicine Physician
Primary
036130371
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200225170A
—
IN
Enumeration date
07/08/2005
Last updated
10/08/2015
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