SearchIllinois207L00000X

Philip Bodenstab, MD

NPI 1245262401 · on the registry since 2006

Practice

Address
1044 N Francisco Avenue
Norwegian American Hospital
Chicago, IL 60622
Phone
(773) 278-8800
Organisation at this address
Ricardo Jose Nieves
Humboldt Park Health
Humboldt Park Health
Humboldt Park Health
Humboldt Park Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
94

Registry record

Primary taxonomy
207L00000X
207L00000X
Also registered as
207L00000X
207L00000X
207L00000X
Licence states on file
CA, FL, WA, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois