Organization Active NPI

Bodii Cafe Incorporated

  • Health Educator
  • Evergreen Park, IL
National Provider Identifier
1720841687
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
BODII CAFE INCORPORATED
Practice address
3317-19 W. 95TH St
Suite 4
Evergreen Park, IL 60805-2243
Phone
(312) 600-5592
NPI assigned
Feb 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Ms. Stephanie Marie Free, HEALTH EDUCATORNPI 1225825144
Title
Owner: Oncology Skincare Consultant
Phone
(312) 600-5592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary
Mastectomy FitterGroup: 193200000X MULTI-SPECIALTY GROUP 224900000X
Home Health Agency 251E00000X

Addresses

Primary practice location

3317-19 W. 95TH St
Suite 4
Evergreen Park, IL 60805-2243

Mailing address

9449 S Kedzie Ave Ste 342
Evergreen Park, IL 60805-2325
Phone (312) 600-5592

National Provider Directory

National Provider Directory

Locations

3317 W 95th St
Ste 342
Evergreen Park, IL 60805

3317 W 95th St
Evergreen Pk, IL 60805
Phone (708) 529-3011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1720841687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 S KEDZIE AVE STE 342",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052325",
            "telephone_number": "312-600-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317-19 W. 95TH ST",
            "address_2": "SUITE 4",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052243",
            "telephone_number": "312-600-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODII CAFE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "FREE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER: ONCOLOGY SKINCARE CONSULTANT",
        "authorized_official_telephone_number": "312-600-5592",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HEALTH EDUCATOR"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.