Healthcare Provider Details

I. General information

NPI: 1558599175
Provider Name (Legal Business Name): KEITH CAHILL HOOD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2009
Last Update Date: 09/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 OGDEN AVE STE 115
AURORA IL
60504
US

IV. Provider business mailing address

1256 WATERFORD DR STE 230
AURORA IL
60504-4511
US

V. Phone/Fax

Practice location:
  • Phone: 630-922-8825
  • Fax: 630-369-8838
Mailing address:
  • Phone: 630-978-6204
  • Fax: 630-499-2399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number036130388
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: