MICHAEL DARRYL HOFFMAN C.O.F. NPI 1093840613

NPI Information

NPI: 1093840613
Provider Name: MICHAEL DARRYL HOFFMAN, C.O.F.
Classification: Orthotic Fitter - 225000000X
Entity Type: Individual
Address:
7640 PLAZA CT
WILLOWBROOK, IL
ZIP 60527
Phone: (630) 686-3922
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Michael Darryl Hoffman, C.O.F. is an orthotic fitter in Willowbrook, IL. The provider is an individual trained in the management of fitting prefabricated orthoses. Michael Darryl Hoffman, C.O.F. NPI is 1093840613. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7640 PLAZA CT
WILLOWBROOK, IL
ZIP 60527-607
Phone: (630) 686-3922
Fax: (630) 566-5939

The enumeration date for this NPI number is 2/22/2007 and was last updated on 12/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225000000X	Orthotic Fitter				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01623063	OTHER	ILLINOIS	BLUE CROSS PROVIDER NUMBE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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