Organization
THE VEIN SPECIALISTS, LLC
Active
Organization
THE VEIN SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN BOHN M.D. (OWNER)
(309) 862-4000
Entity
Organization
Contact information
Practice address
3302 GERIG DR, SUITE 100, BLOOMINGTON, IL 61704-6365
(309) 862-4000
Mailing address
3302 GERIG DR, SUITE 100, BLOOMINGTON, IL 61704-6365
(309) 862-4000
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
036-071833
IL
Other
Enumeration date
07/01/2010
Last updated
03/01/2017
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