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Individual

DR. GERRY C BOHAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1725 W HARRISON ST, SUITE 809, CHICAGO, IL 60612-3841
(312) 942-8322
Mailing address
345 W FULLERTON PKWY, #402, CHICAGO, IL 60614-2856
(617) 680-6791

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
217229
MA

Other

Enumeration date
10/12/2006
Last updated
08/13/2007
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