Individual
MS. AMY L BOBULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 OLD ORCHARD RD, SUITE 18, SKOKIE, IL 60077-4405
(847) 662-1020
Mailing address
2837 FARMINGTON RD, NORTHBROOK, IL 60062-6911
(847) 663-1020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2073746
IL
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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