Sara M Bodner is a Addiction Medicine in Chicago, Illinois. Sara M Bodner practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Sara M Bodner is 1881637999. The last update date is 2019-11-01.
Sara M Bodner's current location address is 4525 N Ravenswood Ave, Chicago, Illinois. You can contact this provider via phone number 3128578794. The mailing address for Sara M Bodner is 4525 N Ravenswood Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sara M Bodner |
|---|---|
| Address | 4525 N Ravenswood Ave, Chicago, Illinois |
| Phone Number | 3128578794 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1881637999 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2019-11-01 |
Provider Mailing Address Detail
| Address | 4525 N Ravenswood Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606405201 |
| Phone Number | 3128578794 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 36.14357 |
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Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 377478300 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Sara M Bodner by the Centers for Medicare & Medicaid Services?
The Sara M Bodner has been issued the NPI (National Provider Identifier) 1881637999. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Sara M Bodner?
The Sara M Bodner is situated at 4525 N Ravenswood Ave, in the city of Chicago, state of IL, with the zip code 606405201.
What is Sara M Bodner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sara M Bodner is Addiction Medicine, and the corresponding taxonomy classification code for this specialized field is 2084A0401X.
When did the Sara M Bodner receive its 1881637999?
The Sara M Bodner was issued its 1881637999 on 2006-06-14, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Sara M Bodner most recently updated or revised?
The information pertaining to Sara M Bodner, including its address, specialty, and other relevant details, was last updated or revised on 2019-11-01.