Alla Bodner, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036.131250 Issued in IL

Practice address

15 Commerce Dr Ste 113
Grayslake, IL 60030-7807

Phone

(847) 231-4130

Fax

(847) 231-5303

NPI assigned

Oct 2, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Midwest Center for Women'S Healthcare, LTDGroup PAC ID 7012818354, 93 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Senior Home Health Agency Home health agency, Park Ridge, IL, CCN 148059
• Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
• Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
• Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alla.bodner.1@21117.direct.athenahealth.com
• Direct secure messaging: abodner@whs.gwaydirect.com
• FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Center for Women'S Health Care, LTD.

  • Obstetrics & Gynecology Physician
  • Bannockburn, IL
  • NPI 1447200654
  Medicare reassignment Care Compare group NPD
• Dr Elena V Naryzhny MD Corporation

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1992326417
  Medicare reassignment NPD
• Waukegan Clinic Corp

  • Family Medicine Physician
  • Waukegan, IL
  • NPI 1306937289
  Medicare reassignment NPD
• Obstetrics, Gynecology & Infertility,S.C.

  • Specialist
  • Park Ridge, IL
  • NPI 1063449924
  Medicare reassignment
• Oncology Hematology Associates of Northern Illinois, LTD

  • Hematology & Oncology Physician
  • Gurnee, IL
  • NPI 1093142135
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Park Ridge, IL
  • NPI 1164539730
  Care Compare affiliation
• Central Dupage Hospital Association

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810
  Care Compare affiliation
• Central Dupage Hospital Association

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895
  Care Compare affiliation
• Chunji-One, Corporation

  • Home Health Agency
  • Park Ridge, IL
  • NPI 1245362623
  Care Compare affiliation
• Northwestern Lake Forest Hospital

  • General Acute Care Hospital
  • Lake Forest, IL
  • NPI 1124025176
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1669723573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 MONROE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COMMERCE DR STE 113",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307807",
            "telephone_number": "847-231-4130",
            "fax_number": "847-231-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNER",
        "first_name": "ALLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.131250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystine Bird
• Michael Todd Bitzer, PT
• Christine Anne Blakey, ATC
• Victoria Blevins
• Sreevidya Bodepudi, DO
• Rubi Bolles, LCSW
• Lorna Bolton
• Justin Bond
• Tracy Boraca, RBT 17-42752
• John Nolan Bouma, DC

• Obstetrics & Gynecology Physician in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.