BRYAN BODE (NPI# 1043668403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043668403 |
| Entity Type | Individual |
| Full Name | BRYAN BODE |
| Practice Address |
4001 Dayton Street Mchenry IL 60050 |
| Practice Telephone | 8157597041 |
| Practice Fax Number | 8157597272 |
| Mailing Telephone | 8157597041 |
| Mailing Fax Number | 8157597272 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 041389177 | IL | Nursing Service Providers |
| Street Address |
4001 DAYTON STREET |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942655857 | Helen Wiechertvestergren | Social Worker | 4001 Dayton Street, Mchenry, IL 60050-8561 | 2016-04-28 |
| 1588102560 | Kanisha Johnson | Social Worker | 4001 Dayton Street, Mchenry, IL 60050 | 2017-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417415134 | Marie Lynn Hotel | Registered Nurse | 3912 Oak Ave, Mchenry, IL 60050-5533 | 2019-03-12 |
| 1992241327 | Laurie Sabol | Registered Nurse | 3901 Mercy Dr, Mchenry, IL 60050-3151 | 2017-01-09 |
| 1073066437 | Jennifer Marie Lawrence | Registered Nurse | 4309 W Medical Center Dr, Suite A200, Mchenry, IL 60050 | 2016-08-02 |
| 1699164897 | Louina N. Molina | Registered Nurse | 4201 W Medical Center Dr, Mchenry, IL 60050-7401 | 2015-01-12 |
| 1730515172 | Sarah E Davis | Registered Nurse | 4309 W Medical Center Dr Ste B202, Mchenry, IL 60050-8417 | 2013-09-17 |
| 1831490754 | Jeri Lynn Kelly | Registered Nurse | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2010-11-09 |
| 1194846857 | Rebecca Marvin | Registered Nurse | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2007-04-02 |
| 1609997360 | Kathryn Brennan | Registered Nurse | 4100 Veterans Parkway, Mchenry, IL 60050 | 2007-04-02 |
| 1043331705 | Leslie Fields | Registered Nurse | 4100 Veterans Parkway, Mchenry, IL 60050 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962720 | Christine Nance | Registered Nurse | 125 W 109th St, Chicago, IL 60628-3432 | 2020-11-04 |
| 1538769773 | Erica Guerrero | Registered Nurse | 1071 W 15th St Unit 202, Chicago, IL 60608-2783 | 2020-10-27 |
| 1306446836 | Amir W Raad | Registered Nurse | 5613 Dunham Rd, Downers Grove, IL 60516-1247 | 2020-10-26 |
| 1083213037 | Johanna Gordon | Registered Nurse | 820 Timbers Edge Ln, Northbrook, IL 60062-3100 | 2020-10-21 |
| 1457959470 | Gretchen Marie Clavey | Registered Nurse | 1711 Mayfair Rd, Champaign, IL 61821-5522 | 2020-10-12 |
| 1336747526 | Samantha Cappetto | Registered Nurse | 437 Thomas Jefferson Ct, Aurora, IL 60504-2013 | 2020-10-11 |
| 1508464736 | Jessica Young | Registered Nurse | 2648 W 21st St Apt 2f, Chicago, IL 60608-4080 | 2020-10-10 |
| 1912514654 | Marlon Viloria | Registered Nurse | 4557 Jenna Rd, Glenview, IL 60025-1403 | 2020-09-27 |
| 1114534047 | Sheri Pierce | Registered Nurse | 24513 S Serrano Ct, Channahon, IL 60410-5289 | 2020-09-24 |
| 1396351961 | Jasmin Rose Joy | Registered Nurse | 1761 E Corktree Ln, Mount Prospect, IL 60056-1859 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRYAN BODE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.