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Individual

DR. ROBERT DAVID GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1048 104TH ST, SUITE 100, NAPERVILLE, IL 60564-5118
(630) 360-2393
Mailing address
1048 104TH ST, SUITE 100, NAPERVILLE, IL 60564-5118
(630) 360-2393

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010211
IL

Other

Enumeration date
08/10/2009
Last updated
10/16/2012
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