Sunspot Spinal & Sports Rehabilitation

NPI #1316086267 in Woodridge, Illinois

Provider Information

NPI Number: 1316086267
Entity Type: Organization
Organization Name: Sunspot Spinal & Sports Rehabilitation
Primary Specialty: Physical Therapist
Enumeration Date: Feb 6, 2007
Last Updated: Feb 7, 2011

Practice Location

Address: 8224 LINDENWOOD LN
City: Woodridge
State: Illinois
ZIP Code: 60517-4105
Phone: (630) 615-0656

Authorized Official

Name: DR. CHARLES NATHAN BODEM, D.C.
Title: CHIROPRACTOR
Phone: (630) 615-0656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Physical Therapist	225100000X	Primary

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