Derek Lance Bohm, PHYSICIAN ASSISTANT | |
606 W Cornelia Ave Apt 489, Chicago, IL 60657-2546 | |
(435) 890-8661 | |
Not Available |
Full Name | Derek Lance Bohm |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 606 W Cornelia Ave Apt 489, Chicago, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437940186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Derek Lance Bohm, PHYSICIAN ASSISTANT 606 W Cornelia Ave Apt 489, Chicago, IL 60657-2546 Ph: (435) 890-8661 | Derek Lance Bohm, PHYSICIAN ASSISTANT 606 W Cornelia Ave Apt 489, Chicago, IL 60657-2546 Ph: (435) 890-8661 |
Jeremy Larva, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Fl 13, Chicago, IL 60611 Phone: 312-695-6800 Fax: 312-695-2772 | |
Ms. Rose F. Ali, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 659 W Washington Blvd, Chicago, IL 60661 Phone: 312-707-8988 Fax: 312-707-9223 | |
Marina Gershteyn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5600 W Addison St Ste 306, Chicago, IL 60634 Phone: 773-283-8664 Fax: 773-283-8688 | |
Kelly M Hoyert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, 3f Occ, Chicago, IL 60612 Phone: 312-355-4300 Fax: 312-413-1206 | |
Gabriela A Cortez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4646 N Marine Dr Ste C6100, Chicago, IL 60640 Phone: 773-564-6025 Fax: 773-564-6026 | |
Maria Uhler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 635 N Dearborn St, Chicago, IL 60654 Phone: 312-694-2273 | |
Emily Daley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 939 W North Ave Ste 650, Chicago, IL 60642 Phone: 773-377-8000 |