# THE VEIN SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861703100
- **Authorized official:** DR. KATHRYN BOHN M.D. (OWNER)
- **Authorized official phone:** (309) 862-4000

## Contact information

- **Practice address:** 3302 GERIG DR, SUITE 100, BLOOMINGTON, IL 61704-6365
- **Practice address phone:** (309) 862-4000
- **Mailing address:** 3302 GERIG DR, SUITE 100, BLOOMINGTON, IL 61704-6365
- **Mailing address phone:** (309) 862-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 036-071833 | IL | Yes |

## Other

- **Enumeration date:** 07/01/2010
- **Last updated:** 03/01/2017