Individual
BODIE K GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
#301 WOODFIELD SHPNG CTR, WOODFIELD MALL, SCHAUMBURG, IL 60173-5012
(847) 619-2932
(847) 619-3967
Mailing address
1368 BAY MEADOWS DR, BARTLETT, IL 60103-2069
(630) 289-8013
(630) 213-7407
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008522
IL
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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