Individual
DR. CAITLIN REBECCA BODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
456 25TH AVE, BELLWOOD, IL 60104-1961
(708) 467-7254
(815) 642-5697
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(708) 467-7254
(815) 642-5697
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.034129
IL
363LF0000X
Family Nurse Practitioner
Primary
4704340669
MI
Other
Enumeration date
03/20/2024
Last updated
01/27/2026
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