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1063527208
RUSSELL JEFFREY BODNER
SYCAMORE, IL
NPI
1063527208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IL 036-104076)
Enumeration Date
2006-08-20
Last Update Date
2020-10-01
Business Address
RUSSELL JEFFREY BODNER M.D.
2111 MIDLANDS CT
SYCAMORE, IL 60178-3125
Phone number: 815-758-0000
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Mailing Address
RUSSELL JEFFREY BODNER M.D.
2111 MIDLANDS CT
SYCAMORE, IL 60178-3125
Phone number: 815-758-0000
Copy
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