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Organization

SUNSPOT SPINAL & SPORTS REHABILITATION

Active
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Organization

SUNSPOT SPINAL & SPORTS REHABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES NATHAN BODEM D.C. (CHIROPRACTOR)
(630) 615-0656
Entity
Organization

Contact information

Practice address
8224 LINDENWOOD LN, WOODRIDGE, IL 60517-4105
(630) 615-0656
Mailing address
PO BOX 2210, 105 CANTERBURY LN, BOLINGBROOK, IL 60440-0138
(630) 615-0656

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
042617979
IL
225100000X
Physical Therapist
Primary
042617979
IL

Other

Enumeration date
02/06/2007
Last updated
02/07/2011
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