Individual
BRENDA LYNN BOHNSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PHD
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-6728
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-6728
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036.152635
IL
207W00000X
Ophthalmology Physician
Primary
4301088483
MI
Other
Enumeration date
06/01/2007
Last updated
01/08/2024
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