| NPI | 1003081589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B HOFFMAN Doctor 815-459-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019-025088) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |