BRIAN BOHOLST

CHICAGO, IL
NPI1235181959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036-098943)
Enumeration Date2006-05-17
Last Update Date2007-07-08
Business Address
-- BRIAN BOHOLST M.D.
3245 N HALSTED ST
CHICAGO, IL 60657-3419
Phone number: 312-926-3627
Mailing Address
-- BRIAN BOHOLST M.D.
3245 N HALSTED ST
CHICAGO, IL 60657-3419
Phone number:
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