Individual
MARTHA D HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-6149
(773) 926-0993
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022116
IL
Other
Enumeration date
10/28/2020
Last updated
03/21/2023
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