Individual
CARLY LYNN BOCHULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY PKWY, ROMEOVILLE, IL 60446-1832
(815) 838-0500
Mailing address
1 UNIVERSITY PKWY, ROMEOVILLE, IL 60446-1832
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.024361
IL
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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