Doctor Name: | JEFFREY BOHAC |
NPI Number: | 1841221314 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 070011177 |
Business Practice Address: | 1275 N Convent St Suite 3 Bourbonnais, IL - 609148210 |
Business Phone Number: | 8159361855 |
Business Fax Number: | |
Mailing Address: | 400 S Kennedy Dr, Suite 100 BRADLEY |
State: | IL |
Postal Code: | 609152682 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 07/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070011177 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |