Individual
KEVIN EDWARD HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 649-3134
(312) 695-5774
Mailing address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 649-3134
(312) 695-5774
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036165837
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35.141616
OH
Other
Enumeration date
04/20/2015
Last updated
11/30/2023
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