Mark Bodin in Bolingbrook - Physical Therapist

Mark Bodin - NPI 1558389759

Mark Bodin is a Physical Therapist in Bolingbrook, Illinois. Mark Bodin practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mark Bodin is 1558389759. The last update date is 2013-03-22.

Mark Bodin's current location address is 790 Remington Blvd, Bolingbrook, Illinois. You can contact this provider via phone number 6302962223. The mailing address for Mark Bodin is 790 Remington Blvd, Bolingbrook, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Bodin
Address 790 Remington Blvd, Bolingbrook, Illinois
Phone Number 6302962223
Fax Number
Sole Proprietor N
Credentials P.T.

NPI Number Detail

NPI Number 1558389759
Provider Enumeration Date 2006-07-17
Last Updated Date 2013-03-22

Provider Mailing Address Detail

Address 790 Remington Blvd
City Bolingbrook
State Illinois (IL)
Post Code 604404909
Phone Number 6302962223
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No J10001805
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1558389759 DE --
5070-0094 MD GHMSI
3502360000 IBC AMERIHEALTH
64332706 MD CAREFIRST MD

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FAQs about Mark Bodin

What is the unique identifier code issued to Mark Bodin by the Centers for Medicare & Medicaid Services?

The Mark Bodin has been assigned the NPI (National Provider Identifier) 1558389759. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Mark Bodin's physical address?

The Mark Bodin is physically located at 790 Remington Blvd, in the city of Bolingbrook, IL, with the postal code 604404909.

What is Mark Bodin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mark Bodin is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.

On what date did Mark Bodin receive its 1558389759 assignment from the Centers for Medicare & Medicaid Services?

The Mark Bodin was assigned its 1558389759 on 2006-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Mark Bodin most recently updated or refreshed?

The details pertaining to the Mark Bodin, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-03-22.

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