Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TOMMY BOHANNAN
Active Sole ProprietorMR. TOMMY BOHANNAN is a Durable Medical Equipment & Medical Supplies healthcare provider located in DUNLAP, Illinois. NPI 1407213796 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · DUNLAP, IL
Registration Details
- NPI Number
- 1407213796
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2016 (10.564110691062 yrs)
- Last Updated
- Mar 8, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
11417 N BOULDER CREEK CTDUNLAP, IL, 615251500Browse IL providers · Browse ZIP 61525
- Phone
- 3096788081
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.