Provider Demographics
NPI:1659546257
Name:HODGKINS, SUZANNE ELIZABETH (MOT, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:ELIZABETH
Last Name:HODGKINS
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 WARWICK LN
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-1125
Mailing Address - Country:US
Mailing Address - Phone:224-392-9249
Mailing Address - Fax:855-794-0941
Practice Address - Street 1:1807 WARWICK LN
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-1125
Practice Address - Country:US
Practice Address - Phone:847-466-7680
Practice Address - Fax:847-466-7680
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.005179225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist