Edward J Hodel IV, PT
Individual provider Active NPI Physical Therapist · Eureka, IL
NPI 1043658743 · NPPES record last updated Dec 10, 2024
Key facts
- NPI
- 1043658743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070020015 (IL)
- Practice address
- 700 N Main St
Eureka, IL 61530-1085 - Phone
- (309) 467-2337
- NPI assigned
- Jun 5, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brendon J Johnson, OD, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 070020015 | IL | Yes |
Addresses
Primary practice location
700 N Main St
Eureka, IL 61530-1085
Mailing address
2988 Court St
Pekin, IL 61554-6229
Phone (309) 353-5940
Other providers in Eureka, IL
- Morgan Elizabeth Harris
- Kylie Hasselbacher
- Heartland Community Health Clinic
- Randy Henkels
- Highland Park CVS, L.L.C.
- Rebekah L Hollenberg
- Christopher R. Hughes
- Human Service Center
- Steven K. Jones
- Michael Keedy
All providers in Eureka, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.