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

Mr. Mario Donald Hodge, CPED

Individual provider Pedorthist · NPI 1023369501

Mr. Mario Donald Hodge, CPED is a Pedorthist in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

1024 Jordan St
Mount Vernon, IL 62864-4231
Phone: (618) 242-4442
Fax: (618) 242-3942
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pedorthist (primary) Taxonomy 224L00000X · Licence 212.000161 (IL)

Record details

NPI number1023369501
Entity typeIndividual (Type 1)
GenderMale
Credentials CPED
Sole proprietorNo
NPI enumeratedSeptember 25, 2012
Last updated in NPPESSeptember 25, 2012