Organization
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Active
Other names
IMH Multi-Specialty Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK BOHLMANN (PRESIDENT/CEO)
(815) 432-7736
Entity
Organization
Contact information
Practice address
200 LAIRD LN, WATSEKA, IL 60970-7568
(815) 432-5411
(815) 432-3955
Mailing address
200 LAIRD LN, WATSEKA, IL 60970-7568
(815) 432-5411
(815) 432-3955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2006
Last updated
09/19/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up