Kevin Goodwin

NPI #1740697408 in Montgomery, Illinois

Provider Information

NPI Number: 1740697408
Entity Type: Individual
Name: Kevin Goodwin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Jul 15, 2014
Last Updated: Jul 15, 2014

Practice Location

Address: 1050 OGDEN AVE
City: Montgomery
State: Illinois
ZIP Code: 60538-5404
Phone: (630) 449-1955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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