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Shyrlena L Bogard, MD
Clinic/Center in Peru, Illinois
NPI 1467615898

Shyrlena L Bogard is a Clinic/Center based in Peru, IL. Shyrlena L Bogard practices in Peru, IL and has the professional credentials of MD. The NPI Number for Shyrlena L Bogard is 1467615898 and holds a License No. 036126361 (Illinois).

The current practice location address for Shyrlena L Bogard is 920 West St, Peru, IL and can be reached out via phone at 815-223-2944.

Location: 920 West St, Peru, IL, 61354-2759
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467615898
Provider Name
Shyrlena L Bogard
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
920 West St, Peru, IL, 61354-2759
Phone Number
815-223-2944
Fax Number
Provider Enumeration Date
07/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036126361 05 IL
institution
Provider Business Practice Location Address Details
Address
920 West St
City
Peru
State
Illinois
Zip
61354-2763
Phone Number
815-223-2944
Fax Number
person
Provider Business Mailing Address Details
Address
920 West St
City
Peru
State
Illinois
Zip
61354-2763
Phone Number
815-223-2944
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
036.126361 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
036126361 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
036126361 (Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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