Individual
DR. GEORGE TADEUSZ HODAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 N OAK ST, 2ND FLOOR, EAST WING, HINSDALE, IL 60521-3829
(630) 568-3882
(630) 568-3886
Mailing address
9500 BORMET DR STE 204, MOKENA, IL 60448-8399
(708) 346-4044
(708) 346-3287
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01045222A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036078800
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078800
—
IL
05
—
1821098575
—
MI
05
—
200123500A
—
IN
05
—
200123500B
—
IN
05
—
200123500C
—
IN
05
—
200123500D
—
IN
05
—
200123500E
—
IN
Enumeration date
07/22/2005
Last updated
12/17/2021
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