Hoffman Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007367 Issued in IL

Legal business name

HOFFMAN CHIROPRACTIC CLINIC PC

Practice address

662 N Convent St
Bourbonnais, IL 60914

Phone

(815) 937-0446

Fax

(815) 937-0487

NPI assigned

Oct 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew P Hoffman, DC CCSPNPI 1679762504

Title

President Owner

Phone

(815) 937-0446

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Patrick Hoffman, DC

  • Chiropractor
  • Bourbonnais, IL
  • NPI 1679762504
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1194809632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 N CONVENT ST",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "60914",
            "telephone_number": "815-937-0446",
            "fax_number": "815-937-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 N CONVENT ST",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "60914",
            "telephone_number": "815-937-0446",
            "fax_number": "815-937-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOFFMAN CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "815-937-0446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC CCSP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04622727",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenna Elizabeth Hill, PTA
• Brian D Hillary, DC
• Hines Vamc
• Jordan Hoang
• Erica C Hodges
• Matthew Patrick Hoffman, DC
• Dustin Taylor Hogan
• Cody A Holler, PHARMD
• Home Care Personal Services, Inc.
• Megan Hoskins, RBT-17-40711

• Chiropractor in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.