BOAZ YEHUDA BISHOP

CHICAGO, IL
NPI1851929681
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: IL  125.076182)
Additional Taxonomies207R00000X Internal Medicine
(Licence: ZZ  1-35773)
Enumeration Date2020-03-28
Last Update Date2020-06-23
Business Address
BOAZ YEHUDA BISHOP
251 E HURON ST
CHICAGO, IL 60611-2908
Phone number: 754-399-5408
Mailing Address
BOAZ YEHUDA BISHOP
525 W HAWTHORNE PL APT 2104
CHICAGO, IL 60657-2905
Phone number: 754-399-5408