Search

Dr. CARL BOHM DO

Individual Provider (NPI-1) Active

Emergency Medicine

Provider Information

NPI Number
1609372952
Provider Type
Individual Provider (NPI-1)
Credentials
DO
Status
Active

Contact & Location

Address
530 NE GLEN OAK AVE, PEORIA, IL, 616370001
Phone
(309) 655-2109

Specialties & Taxonomies

Student in an Organized Health Care Education/Training Program
Emergency Medicine Primary License: NC #2021-01331
Emergency Medicine License: MO #2024024643

All Addresses

LOCATION

530 NE GLEN OAK AVE

PEORIA, IL, 616370001

(309) 655-2109

MAILING

530 NE GLEN OAK AVE

PEORIA, IL, 616374909