Boden, Stephanie Ann
Boden, Stephanie Ann is an individual health care provider with primary practice located at 1611 W Harrison St Ste 400 , Chicago IL 60612-4861. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Boden, Stephanie Ann can be contacted via phone (312) 432-2300.Contact Information
Primary practice address
1611 W Harrison St Ste 400
Chicago IL 60612-4861
Phone: (312) 432-2300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 036.163992 | Illinois |
Profile Details
| NPI number | 1770089450 |
|---|---|
| LBN Legal business name | Boden, Stephanie Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2018 |
| Last updated | Jun 5th, 2023 - about last year |
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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