Russell Jeffrey Bodner in Sycamore - Orthopaedic Surgery
Russell Jeffrey Bodner - NPI 1063527208
Russell Jeffrey Bodner is a Orthopaedic Surgery in Sycamore, Illinois. Russell Jeffrey Bodner practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Russell Jeffrey Bodner is 1063527208. The last update date is 2020-10-01.
Russell Jeffrey Bodner's current location address is 2111 Midlands Ct, Sycamore, Illinois. You can contact this provider via phone number 8157580000 and fax number 8157567130. The mailing address for Russell Jeffrey Bodner is 2111 Midlands Ct, Sycamore, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Jeffrey Bodner |
|---|---|
| Address | 2111 Midlands Ct, Sycamore, Illinois |
| Phone Number | 8157580000 |
| Fax Number | 8157567130 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063527208 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2020-10-01 |
Provider Mailing Address Detail
| Address | 2111 Midlands Ct |
|---|---|
| City | Sycamore |
| State | Illinois (IL) |
| Post Code | 601783125 |
| Phone Number | 8157580000 |
| Fax Number | 8157567130 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 036-104076 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1915167 | IL | BLUE CROSS/BLUE SHIELD | |
| 359580001 | IL | DMERC | |
| 200040517 | IL | RAILROAD MEDICARE | |
| 36104076 | IL | -- | |
| 66360 | IL | HEALTH ALLIANCE |
Post Comment/ Review Below
What is the unique identifier code issued to Russell Jeffrey Bodner by the Centers for Medicare & Medicaid Services?
The Russell Jeffrey Bodner has been assigned the NPI (National Provider Identifier) 1063527208. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Russell Jeffrey Bodner?
The Russell Jeffrey Bodner is physically situated at 2111 Midlands Ct, in the city of Sycamore, state of IL, with the postal code 601783125.
What is the area of specialization for Russell Jeffrey Bodner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Russell Jeffrey Bodner is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207X00000X.
When did the Russell Jeffrey Bodner receive its 1063527208?
The Russell Jeffrey Bodner was issued its 1063527208 on 2006-08-20, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Russell Jeffrey Bodner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Russell Jeffrey Bodner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-10-01.
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