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1194883801
BODIE K GODWIN
SCHAUMBURG, IL
NPI
1194883801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046-008522)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
-- BODIE K GODWIN O.D.
#301 WOODFIELD SHPNG CTR WOODFIELD MALL
SCHAUMBURG, IL 60173-5012
Phone number: 847-619-2932
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Mailing Address
-- BODIE K GODWIN O.D.
1368 BAY MEADOWS DR
BARTLETT, IL 60103-2069
Phone number: 630-289-8013
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