DR. KENNETH MARK BODENHAGEN (PHARM D) – Pharmacist, NPI 1013983105

DR. KENNETH MARK BODENHAGEN (PHARM D) is a healthcare provider. based in Homer glen, Illinois. specializing in Pharmacist. They hold the professional credentials PHARM D. The NPI Number for DR. KENNETH MARK BODENHAGEN (PHARM D) is 1013983105

Main info

Male
Name
DR. KENNETH MARK BODENHAGEN (PHARM D)
NPI
1013983105
Phone
(708) 645-1678
Address
13963 S TRAILS END DR
Enumeration Date
27 February 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for DR. KENNETH MARK BODENHAGEN (PHARM D)

  • 13963, South Trails End Drive, Old Oak Estates, Homer Glen, Will County, Illinois, 60491, United States

    HOMER GLEN, IL 604918643

    Phone: (708) 645-1678

    Fax: (630) 679-6565

    Type: Mailing

  • Weber Road, Bolingbrook, Will County, Illinois, 60490, United States

    BOLINGBROOK, IL 604901505

    Phone: (630) 679-6533

    Fax: (630) 679-6565

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60491)

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Reviews

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Frequently asked questions

Can I cross-check DR. KENNETH MARK BODENHAGEN (PHARM D) using NPI 1013983105?
NPI 1013983105 belongs to DR. KENNETH MARK BODENHAGEN (PHARM D); compare other details if you need extra assurance.
Is DR. KENNETH MARK BODENHAGEN (PHARM D) still an active registrant?
DR. KENNETH MARK BODENHAGEN (PHARM D) carries an active NPI according to the public dataset.
What expertise is attributed to DR. KENNETH MARK BODENHAGEN (PHARM D)?
DR. KENNETH MARK BODENHAGEN (PHARM D)'s specialty line reads Pharmacist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KENNETH MARK BODENHAGEN (PHARM D)?
Travel planning: use Homer Glen, Illinois as the reference point for DR. KENNETH MARK BODENHAGEN (PHARM D), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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