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Organization
KATHLEEN A HODGMAN MD PC
Active
Organization
KATHLEEN A HODGMAN MD PC
Active
Other names
Personalized Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN A HODGMAN MD (PHYSICIAN/OWNER)
(847) 462-8050
Entity
Organization
Contact information
Practice address
912 NORTHWEST HWY, SUITE 106, FOX RIVER GROVE, IL 60021-1925
(847) 462-8050
(847) 462-8055
Mailing address
912 NORTHWEST HWY, SUITE 106, FOX RIVER GROVE, IL 60021-1925
(847) 462-8050
(847) 462-8055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-048484
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04900710
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/12/2007
Last updated
10/27/2009
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