Healthcare Provider Details

I. General information

NPI: 1215857529
Provider Name (Legal Business Name): NUU MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1619 MILLSTONE LN
GURNEE IL
60031-5684
US

IV. Provider business mailing address

1619 MILLSTONE LN
GURNEE IL
60031-5684
US

V. Phone/Fax

Practice location:
  • Phone: 650-743-9005
  • Fax:
Mailing address:
  • Phone: 650-743-9005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN HODOR
Title or Position: MANAGER
Credential: DO
Phone: 301-524-8623