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Organization

BODII CAFE INCORPORATED

Active
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Organization

BODII CAFE INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STEPHANIE MARIE FREE HEALTH EDUCATOR (OWNER: ONCOLOGY SKINCARE CONSULTANT)
(312) 600-5592
Entity
Organization

Contact information

Practice address
3317-19 W. 95TH ST, SUITE 4, EVERGREEN PARK, IL 60805-2243
(312) 600-5592
Mailing address
9449 S KEDZIE AVE STE 342, EVERGREEN PARK, IL 60805-2325
(312) 600-5592

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
224900000X
Mastectomy Fitter
251E00000X
Home Health Agency

Other

Enumeration date
02/02/2024
Last updated
07/02/2025
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