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Individual

ROBERT PAUL BOHNENSTIEHL III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
650 S RANDALL RD, ALGONQUIN, IL 60102-5944
(779) 771-7000
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209023636
IL

Other

Enumeration date
07/27/2021
Last updated
08/14/2023
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