Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KENNETH MARK BODENHAGEN PHARM D
NPI 1013983105
Pharmacist in Bolingbrook, IL

Active since February 27, 2006
225 N WEBER RD, BOLINGBROOK, IL 60490(630) 679-6533(630) 679-6565 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Mark Bodenhagen Pharm D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH MARK BODENHAGEN PHARM D (NPI 1013983105) is an individual pharmacist in Bolingbrook, Illinois and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1013983105
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. KENNETH MARK BODENHAGENCredential: PHARM D
Location Address225 N WEBER RDBolingbrook, IL 60490-1505
Mailing Address13963 S Trails End DrHomer Glen, IL 60491-8643 · (708) 645-1678 · Fax (630) 679-6565
Fax(630) 679-6565
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1013983105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
225 N WEBER RD, Bolingbrook, IL 60490

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacotherapy)
225 N WEBER RD
BOLINGBROOK, IL 60490
Pharmacist (Pharmacotherapy)
225 N WEBER RD
BOLINGBROOK, IL 60490
Pharmacy (Community/Retail Pharmacy)
225 N WEBER RD
BOLINGBROOK, IL 60490
Pharmacist (Pharmacotherapy)
225 N WEBER RD
BOLINGBROOK, IL 60490
Eyewear Supplier
225 N WEBER RD
BOLINGBROOK, IL 60490
Eyewear Supplier
225 N WEBER RD
BOLINGBROOK, IL 60490

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Bodenhagen's NPI number?

The NPI number for Kenneth Bodenhagen is 1013983105. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Kenneth Bodenhagen located?

Kenneth Bodenhagen practices at 225 N Weber Rd, Bolingbrook, IL 60490. The listed phone number is (630) 679-6533.

What is Kenneth Bodenhagen's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kenneth Bodenhagen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.