Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Mark Bodenhagen, PHARMD

Individual provider Pharmacist · NPI 1013983105

Dr. Kenneth Mark Bodenhagen, PHARMD is a Pharmacist in Bolingbrook, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

225 N Weber Rd
Bolingbrook, IL 60490-1505
Phone: (630) 679-6533
Fax: (630) 679-6565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X (IL)

Record details

NPI number1013983105
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESJuly 13, 2026
Mailing address13963 S Trails End Dr, Homer Glen, IL 60491-8643

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