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Shane Waldhoff
NPI 1063399855 · on the registry since 2025
Practice
- Address
- 2301 W Bradley Ave # 574
Champaign, IL 61821 - Phone
- (574) 387-4313
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Male
- Record last updated
- 2025-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois