Mary Barbara Hodal, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-007388 Issued in IL

Practice address

103 S Main St
Canton, IL 61520-2607

Phone

(309) 647-8030

Fax

(309) 647-5902

NPI assigned

Dec 5, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Klinedinst Chiropractic, LLC

  • Chiropractor
  • Canton, IL
  • NPI 1972703627
  NPD (past)
• Watson Center for Wellness Inc

  • Clinical Social Worker
  • Canton, IL
  • NPI 1114382652
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1972748812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S MAIN ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615202607",
            "telephone_number": "309-647-8030",
            "fax_number": "309-647-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S MAIN ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615202607",
            "telephone_number": "309-647-8030",
            "fax_number": "309-647-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODAL",
        "first_name": "MARY",
        "middle_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Anne Haws, MS, RD, LDN
• Heartland of Canton Il LLC
• Crindy Nolee Hedges, RN, IBCLC
• Audrey Jo Hensley
• Gary R Herberger, DDS
• Angela J Holthaus, CRNA
• Suzanne E Holthaus, MD
• Ashley Nicole Howard, M.D.
• Patti Humphry, PT
• Hy-Vee Inc

• Chiropractor in Canton, IL
• Providers in Canton, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.