Individual
MR. CHRIS BODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
13300 S ROUTE 59 STE B7, PLAINFIELD, IL 60585-5201
(815) 577-3666
(815) 577-2785
Mailing address
2854 CEDAR GLADE DR, NAPERVILLE, IL 60564-8443
(630) 697-4948
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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