Individual
ANDRE' TYRONE BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1532 LONE OAK RD STE 245, PADUCAH, KY 42003-7941
(270) 538-5700
Mailing address
10400 HALIGUS RD, HUNTLEY, IL 60142-9553
(815) 356-2323
(847) 802-7201
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
100764-875
WI
207V00000X
Obstetrics & Gynecology Physician
430166276
MI
207V00000X
Obstetrics & Gynecology Physician
C1-0029164
DE
207V00000X
Obstetrics & Gynecology Physician
MD213166
OR
207V00000X
Obstetrics & Gynecology Physician
Primary
TP969
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104728939
—
MI
01
—
160H232190
BCBSM/BCN
MI
05
—
7100955930
—
KY
Enumeration date
02/07/2007
Last updated
03/23/2026
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