Individual
DR. KAVITA S HODGKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611
(800) 543-7362
Mailing address
225 E CHICAGO AVE # 118, CHICAGO, IL 60611-2991
(312) 227-6415
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
036120566
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036120566
—
IL
Enumeration date
04/28/2008
Last updated
05/10/2019
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