Individual
DR. WILLIAM CHARLES BOGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC DACBR
Contact information
Practice address
1618 SUNSET ROAD, SUITE A, GENEVA, IL 60134
(630) 208-0346
(630) 208-0346
Mailing address
PO BOX 341, GENEVA, IL 60134
(630) 208-0346
(630) 208-0346
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
038005260
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04525569
BCBS ILLINOIS
IL
Enumeration date
10/16/2006
Last updated
04/29/2016
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