RUSSELL JEFFREY BODNER

SYCAMORE, IL
NPI1063527208
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: IL  036-104076)
Enumeration Date2006-08-20
Last Update Date2020-10-01
Business Address
RUSSELL JEFFREY BODNER M.D.
2111 MIDLANDS CT
SYCAMORE, IL 60178-3125
Phone number: 815-758-0000
Mailing Address
RUSSELL JEFFREY BODNER M.D.
2111 MIDLANDS CT
SYCAMORE, IL 60178-3125
Phone number: 815-758-0000