Kenneth Bodenhagen, PHARM D

NPI 1013983105 · on the registry since 2006

Practice

Address: 225 N Weber Rd
Bolingbrook, IL 60490
Phone: (630) 679-6533
Fax: (630) 679-6565
Organisation at this address: Usv Optical Inc.
Daniel & Max, Llc
Meijer Great Lakes Limited Partnership
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois