Search › Illinois › 207X00000X
Russell Bodner, M.D
NPI 1063527208 · on the registry since 2006
Practice
- Address
- 2111 Midlands Ct
Sycamore, IL 60178 - Phone
- (815) 758-0000
- Fax
- (815) 756-7130
- Organisation at this address
- Foroutan & Associates Sc
Kishwaukee Corporate Health @Moi
Northwestern Medical Faculty FoundationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 62
Additional practice sites
- 900 N 2nd St, Rochelle, IL
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois