Individual
LINDA D BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3314 PATRIOT CT, HERRIN, IL 62948
(618) 999-3005
(618) 993-0752
Mailing address
PO BOX 1105, INDIANAPOLIS, IN 46206-1105
(618) 549-5361
(618) 529-0568
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036128377
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036128377
—
IL
Enumeration date
05/18/2007
Last updated
08/15/2018
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