Organization
KEN HODEL M D GYNONC S C
Active
Other names
Ken Hodel M D
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY B HARPER (BILLING MANAGER)
(309) 683-8910
Entity
Organization
Contact information
Practice address
6915 N KNOXVILLE AVE, STE 1, PEORIA, IL 61614-2850
(309) 683-8910
(309) 683-8911
Mailing address
6915 N KNOXVILLE AVE, STE 1, PEORIA, IL 61614-2850
(309) 683-8910
(309) 683-8911
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
09/15/2006
Last updated
02/07/2008
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