Individual
DR. LESTER HOCKENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 W 155TH ST, HARVEY, IL 60426
(708) 596-5177
(708) 339-3583
Mailing address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 339-5529
(708) 339-3583
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036103121
IL
208000000X
Pediatrics Physician
03613121
IL
208D00000X
General Practice Physician
036103121
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103121
—
IL
Enumeration date
05/24/2006
Last updated
07/16/2025
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