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Individual

GODWIN H D'SOUZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5600 W ADDISON ST, SUITE LL001, CHICAGO, IL 60634-4401
(773) 202-9622
(773) 283-0901
Mailing address
5600 W ADDISON ST, LL001, CHICAGO, IL 60634
(773) 202-9622
(773) 283-0901

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-091000
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036091000
IL
Enumeration date
06/03/2006
Last updated
02/27/2015
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