Organization
KINDBODY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE F DEBENEDICTIS (SVP, PAYOR RELATIONS)
(713) 254-3601
Entity
Organization
Contact information
Practice address
420 PROVIDENCE RD, CHARLOTTE, NC 28207
(980) 242-5345
(980) 895-4525
Mailing address
1455 N MILWAUKEE AVE FL 2, CHICAGO, IL 60622-2015
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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