Provider Demographics
NPI:1780780965
Name:HOZMAN, WENDY J (MD)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:J
Last Name:HOZMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 WEST END COURT
Mailing Address - Street 2:SUITE 204
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061
Mailing Address - Country:US
Mailing Address - Phone:847-367-4230
Mailing Address - Fax:847-367-4232
Practice Address - Street 1:870 WEST END COURT
Practice Address - Street 2:SUITE 204
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061
Practice Address - Country:US
Practice Address - Phone:847-367-4230
Practice Address - Fax:847-367-4232
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics