Martha D Hodges
Nurse Practitioner in Chicago, IL. Individual provider (NPI-1).
NPI number1982204061
StatusActive
Last updated in NPPESMar 21, 2023
Details
- NPI
- 1982204061
- Entity type
- Individual (NPI-1)
- Name
- Martha D Hodges
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2020
- Certification date
- Mar 21, 2023
- Last updated
- Mar 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209022116 | IL | Yes |
Practice location
5841 S Maryland AveChicago, IL 60637-1443
Phone 888-824-0200
Mailing address
5841 S Maryland AveChicago, IL 60637-1443
Phone 773-702-6149 · Fax 773-926-0993
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