SearchIllinoisSocial Worker

Kevin Dodge

NPI 1114355351 · on the registry since 2013

Practice

Address
1003 Martin Luther King Dr
Bloomington, IL 61701
Phone
(309) 827-6026
Fax
(309) 820-3745
Organisation at this address
Chestnut Health Systems
Chestnut Health Systems
Chestnut Health Systems Inc
Chestnut Health Systems Inc
Chestnut Health Systems Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
Social Worker
104100000X
Sex
Male
Record last updated
2013-10-25

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