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Individual

DR. KATHERINE MARY BOHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
3612 LAKE AVE, WILMETTE, IL 60091-1000
(773) 282-2322
(847) 920-9567
Mailing address
1640 MAPLE AVE, 1506, EVANSTON, IL 60201-3667
(847) 332-2281

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001618636
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/09/2007
Last updated
07/08/2007
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