Individual
BONNIE RODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
9053 LINCOLNWOOD DR, EVANSTON, IL 60203-1824
(847) 508-0275
(847) 492-7962
Mailing address
9053 LINCOLNWOOD DR, EVANSTON, IL 60203-1824
(847) 508-0275
(847) 492-7962
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BR76270301P
IL
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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