Individual
BLAIR BOGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2150 PFINGSTEN RD STE 3000, GLENVIEW, IL 60026-1314
(847) 570-1795
Mailing address
2150 PFINGSTEN RD STE 3000, GLENVIEW, IL 60026-1314
(847) 570-1795
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007139
IL
Other
Enumeration date
07/28/2019
Last updated
10/16/2025
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