Individual
BRYAN BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4001 DAYTON STREET, MCHENRY, IL 60050
(815) 759-7041
(815) 759-7272
Mailing address
4001 DAYTON STREET, MCHENRY, IL 60050
(815) 759-7041
(815) 759-7272
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041389177
IL
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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