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KATHLEEN A HODGMAN MD PC NPI 1770771909


NPI Information

NPI: 1770771909
Provider Name: KATHLEEN A HODGMAN MD PC

Doing Business As: PERSONALIZED FAMILY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
912 NORTHWEST HWY
SUITE 106
FOX RIVER GROVE, IL
ZIP 60021
Phone: (847) 462-8050
Get Directions

KATHLEEN A HODGMAN MD PC is a family medicine in Fox River Grove, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KATHLEEN A HODGMAN MD PC NPI is 1770771909. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Personalized Family Care.

The provider's business location address is:

912 NORTHWEST HWY
SUITE 106
FOX RIVER GROVE, IL
ZIP 60021-925
Phone: (847) 462-8050
Fax: (847) 462-8055

The provider's authorized official is Kathleen A Hodgman .
The authorized official title is Physician/owner and has the following contact phone number (847) 462-8050.

The enumeration date for this NPI number is 10/12/2007 and was last updated on 10/27/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine036-048484ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104900710OTHERILLINOISBLUE CROSS BLUE SHIELD
2IL1531001MEDICARE PINILLINOIS
3C38283MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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