DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HEATHER KODER, PTA

Active

Specialist/Technologist, Surgical · GREAT LAKES, IL

Registration Details

NPI Number
1285435172
Provider Type
Individual
Gender
Female
NPI Issued
Mar 24, 2025 (1.1205665514461 yrs)
Last Updated
Mar 24, 2025
License
160.009101 (IL)

Practice Information

Address
USS TRANQUILITY 3410 ILLINOIS ST
GREAT LAKES, IL, 60088
Browse IL providers · Browse ZIP 60088
Phone
2243926914
Primary Specialty
Specialist/Technologist, Surgical
246Z00000X

Other Specialist/Technologist, Surgical Providers in GREAT LAKES, IL

Name Credential NPI
KELSIE LYNN HAMMAC 1750185831
FELICIA TRULEY RUIZ 1306640495
DAVID EMILIO TORREZ 1588468383
MR. JOHNNY IFOPO 1083409973
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.