Individual
JOSEPH GLENN BOHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
3001 SPRING MILL DRIVE, SUITE D, SPRINGFIELD, IL 62704-6599
(217) 546-3100
(217) 546-3284
Mailing address
3001 SPRING MILL DRIVE, SUITE D, SPRINGFIELD, IL 62704-6599
(217) 546-3100
(217) 546-3284
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08400618
BCBS
—
Enumeration date
03/27/2007
Last updated
07/08/2007
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