Mr. Tommy Bohannan
Mr. Tommy Bohannan is a Durable Medical Equipment & Medical Supplies in Dunlap, Illinois. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
11417 N Boulder Creek CtDunlap, IL 61525-1500
Phone: (309) 678-8081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1407213796 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2016 |
| Last updated in NPPES | March 8, 2016 |
Other providers in Dunlap
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Bohannan Medical Dist , LLC
11417 N Boulder Creek Ct, Dunlap, IL 61525-1500 · (309) 678-8081