Provider Demographics
NPI:1528213048
Name:HOEDEBECKE, CARI LYNN
Entity Type:Individual
Prefix:
First Name:CARI
Middle Name:LYNN
Last Name:HOEDEBECKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3009 SUMMERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62712-5862
Mailing Address - Country:US
Mailing Address - Phone:217-622-7725
Mailing Address - Fax:
Practice Address - Street 1:3009 SUMMERWOOD DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62712-5862
Practice Address - Country:US
Practice Address - Phone:217-622-7725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist