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Mr. Tommy Bohannan
Durable Medical Equipment & Medical Supplies in Dunlap, Illinois
NPI 1407213796

Tommy Bohannan is a Durable Medical Equipment & Medical Supplies based in Dunlap, IL. Tommy Bohannan practices in Dunlap, IL. The NPI Number for Tommy Bohannan is 1407213796 and holds a License No. (Illinois).

The current practice location address for Tommy Bohannan is 11417 N Boulder Creek Ct, Dunlap, IL and can be reached out via phone at 309-678-8081.

Location: 11417 N Boulder Creek Ct, Dunlap, IL, 61525-1500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407213796
Provider Name
Tommy Bohannan
Credential
Provider Entity Type
Individual
Gender
Male
Address
11417 N Boulder Creek Ct, Dunlap, IL, 61525-1500
Phone Number
309-678-8081
Fax Number
Provider Enumeration Date
01/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11417 N Boulder Creek Ct
City
Dunlap
State
Illinois
Zip
61525-1500
Phone Number
309-678-8081
Fax Number
person
Provider Business Mailing Address Details
Address
11417 N Boulder Creek Ct
City
Dunlap
State
Illinois
Zip
61525-1500
Phone Number
309-678-8081
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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