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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: August 09, 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
Phone(309) 683-8910
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
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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.

LEE OBSTETRICS AND GYNECOLOGY, S.C.
Obstetrics & Gynecology
6915 N KNOXVILLE AVE, SUITE 1
PEORIA, IL 61614
Peoria County (309) 691-1259
MRS. TAMARA L. OLT M.D.
Obstetrics & Gynecology (Gynecology)
6915 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 692-2805
KENNTH ALAN HODEL MD
Obstetrics & Gynecology (Gynecologic Oncology)
6915 N KNOXVILLE AVE, SUITE 1
PEORIA, IL 61614
Peoria County (309) 683-8910
DR. ROBERT ALAN WESTEFER M.D.
Obstetrics & Gynecology
6915 N KNOXVILLE AVE, SUITE 1
PEORIA, IL 61614
Peoria County (309) 691-1259

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 Ken Hodel M D Gynonc S C's NPI number?

The NPI number for Ken Hodel M D Gynonc S C is 1366548810. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is doing business as Ken Hodel M D.

Where is Ken Hodel M D Gynonc S C located?

Ken Hodel M D Gynonc S C is located at 6915 N Knoxville Ave Ste 1, Peoria, IL 61614. The listed phone number is (309) 683-8910.

What is Ken Hodel M D Gynonc S C's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ken Hodel M D Gynonc S C was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.