Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Lance Bohm, PA

Individual provider Physician Assistant · NPI 1437940186

Derek Lance Bohm, PA is a Physician Assistant in Elmhurst, Illinois. Qualified in 2025, 1 year ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1200 S York St
Elmhurst, IL 60126-5626
Phone: (630) 646-6020
Fax: (331) 221-2341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085011428 (IL)
Physician Assistant Taxonomy 363A00000X (IL)

Record details

NPI number1437940186
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 13, 2025
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Elmhurst