Individual
MR. MITCHELL BOGDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST
Contact information
Practice address
132 BERTRAM DR UNIT K, YORKVILLE, IL 60560-3212
(630) 418-8008
Mailing address
132 BERTRAM DR UNIT K, YORKVILLE, IL 60560-3212
(630) 418-8008
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
157219
IL
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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