Individual provider · NPI-1

Hilary Bodle

Nurse Practitioner, Family · Mattoon, IL

NPI number1417876483
StatusActive
Last updated in NPPESJul 14, 2026

Details

NPI
1417876483
Entity type
Individual (NPI-1)
Name
Hilary Bodle
Sex
Female
Sole proprietor
No
Enumeration date
Jul 14, 2026
Certification date
Jul 14, 2026
Last updated
Jul 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209.036059ILYes

Practice location

1000 Health Center Dr Ste 107
Mattoon, IL 61938-4644

Phone 217-238-3425

Mailing address

Po Box 372
Mattoon, IL 61938-0372

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