Organization
BOHLEN & ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GLENN BOHLEN M.D. (OWNER/PRESIDENT)
(217) 546-3100
Entity
Organization
Contact information
Practice address
3001 SPRING MILL DR, SUITE D, SPRINGFIELD, IL 62704-6599
(217) 546-3100
(217) 546-3284
Mailing address
3001 SPRING MILL DR, SUITE D, SPRINGFIELD, IL 62704-6599
(217) 546-3100
(217) 546-3284
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-069395
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8400618
BCBS-IL
IL
Enumeration date
01/29/2008
Last updated
09/02/2010
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