Individual
DR. SYED BOKHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 N CONVENT ST, STE. 1, BOURBONNAIS, IL 60914-1092
(815) 937-5200
(815) 937-2063
Mailing address
1615 N CONVENT ST, STE. 1, BOURBONNAIS, IL 60914-1092
(815) 937-5200
(815) 937-2063
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036056192
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056192
—
IL
Enumeration date
06/30/2005
Last updated
11/23/2011
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