Bryan Bode

NPI #1043668403 in Mchenry, Illinois

Provider Information

NPI Number: 1043668403
Entity Type: Individual
Name: Bryan Bode
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: May 26, 2016
Last Updated: May 26, 2016

Practice Location

Address: 4001 DAYTON STREET
City: Mchenry
State: Illinois
ZIP Code: 60050
Phone: (815) 759-7041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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