Bochantin Obstetrics & Gynecology Services Ltd

NPI #1811016702 in Peoria, Illinois

Provider Information

NPI Number: 1811016702
Entity Type: Organization
Organization Name: Bochantin Obstetrics & Gynecology Services Ltd
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Mar 29, 2007
Last Updated: Sep 7, 2011

Practice Location

Address: 5401 N KNOXVILLE AVE
Address 2: SUITE 308
City: Peoria
State: Illinois
ZIP Code: 61614-5098
Phone: (309) 692-5100

Authorized Official

Name: MARLA TOMLINSON
Title: OFFICE MANAGER
Phone: (309) 692-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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