Individual
CARA BOMKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
680 N LAKE SHORE DR STE 1050, CHICAGO, IL 60611-3054
(312) 642-5515
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17058
WI
363L00000X
Nurse Practitioner
209018763
IL
363LP0200X
Pediatric Nurse Practitioner
209018763
IL
Other
Enumeration date
06/15/2016
Last updated
08/01/2025
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