Doctor Name: | MICHAEL DARRYL HOFFMAN |
NPI Number: | 1093840613 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C.O.F. |
License Number: | |
Business Practice Address: | 479 E Business Center Dr Suite 108 Mount Prospect, IL - 600566037 |
Business Phone Number: | 8473908939 |
Business Fax Number: | 8473908937 |
Mailing Address: | 479 E Business Center Dr, Suite 108 MOUNT PROSPECT |
State: | IL |
Postal Code: | 600566037 |
Phone Number: | 8473908939 |
Fax Number: | 8473908937 |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Orthotic Fitter |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |