KEN HODEL M D
NPI 1366548810
Specialist in Peoria, IL

Active since September 15, 2006
6915 N KNOXVILLE AVE, STE 1, PEORIA, IL 61614(309) 683-8910(309) 683-8911 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ken Hodel M D NPPES

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

KEN HODEL M D (NPI 1366548810) is a healthcare organization registered as a specialist in Peoria, Illinois and active in the NPI registry since September 2006. The organization lists Mary B Harper, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1366548810
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKEN HODEL M D GYNONC S C
Location Address6915 N KNOXVILLE AVE, STE 1Peoria, IL 61614-2850
Mailing Address6915 N Knoxville Ave, Ste 1Peoria, IL 61614-2850 · (309) 683-8910 · Fax (309) 683-8911
Fax(309) 683-8911
Organization SubpartNo
Authorized OfficialMary B HarperBilling Manager · (309) 683-8910
Enumeration DateSeptember 15, 2006
Last NPPES UpdateFebruary 7, 2008
NPI 1366548810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6915 N KNOXVILLE AVE, Peoria, IL 61614

Other Names 1

Doing Business AsKen Hodel M D

Other Identifiers 2

Medicare UPINA24511IL
Medicare PIN213978

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Obstetrics & Gynecology (Gynecologic Oncology)
6915 N KNOXVILLE AVE, SUITE 1
PEORIA, IL 61614
Obstetrics & Gynecology
6915 N KNOXVILLE AVE, SUITE 1
PEORIA, IL 61614
Obstetrics & Gynecology
6915 N KNOXVILLE AVE, SUITE 1
PEORIA, IL 61614
Obstetrics & Gynecology (Gynecology)
6915 N KNOXVILLE AVE
PEORIA, IL 61614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366548810, enumerated as an "organization" on September 15, 2006.

The provider is located at 6915 N KNOXVILLE AVE STE 1 PEORIA, IL 61614 and the phone number is (309) 683-8910.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.