Search › Illinois › 224L00000X
Mario Hodge, C.PED
NPI 1023369501 · on the registry since 2012
Practice
- Address
- 1024 Jordan St
Mount Vernon, IL 62864 - Phone
- (618) 242-4442
- Fax
- (618) 242-3942
- Organisation at this address
- Vivian L Martin
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 224L00000X
224L00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-25
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