Bode, Sharon M

Bode, Sharon M is an sole proprietor health care provider with primary practice located at 1435 N Randall Rd Ste 201, Elgin IL 60123. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bode, Sharon M can be contacted via phone (847) 695-3168.

Contact Information

Primary practice address
1435 N Randall Rd Ste 201 Elgin IL 60123
Phone: (847) 695-3168
Fax: (847) 695-4289
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.007890 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 117826 Missouri

Profile Details

NPI number 1932179751
LBN Legal business name Bode, Sharon M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated Dec 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932179751 NPPES
Illinois MEDICAID 07100261

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