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Individual

KELSEY MARIE BOHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, PA-C

Contact information

Practice address
9301 GOLF RD, DES PLAINES, IL 60016-1667
(847) 296-8151
(847) 296-3915
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 570-5315

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085011939
IL
363A00000X
Physician Assistant
5601009939
MI

Other

Enumeration date
06/01/2020
Last updated
07/28/2026
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