Individual
SHENIKA BOHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
1136 S DELANO CT W, CHICAGO, IL 60605-3740
(312) 868-5450
Mailing address
1272 OLD MILL CT, NAPERVILLE, IL 60564-8981
(312) 868-5450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041476061
IL
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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