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Individual
DAWN M BODE
Active
Individual
DAWN M BODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-0099085
IL
207Q00000X
Family Medicine Physician
Primary
036099085
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099085
—
IL
01
—
048510
HEALTH ALLIANCE
—
01
—
20206
IOWA HEALTH SOLUTIONS
—
01
—
4796890019
DMERC
—
01
—
91332
WELLMARK BC/BS
IA
01
—
IL01E8
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/14/2005
Last updated
04/21/2021
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