Eric W Bohl, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019018710 Issued in IL

Practice address

1024 E Schaumburg
Streamwood, IL 60107-1874

Phone

(630) 837-7775

Fax

(630) 837-6440

NPI assigned

Feb 15, 2008

Last updated

Aug 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eric W Bohl DDS LTD

  • General Practice Dentistry
  • Streamwood, IL
  • NPI 1457529182
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1467620195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 E SCHAUMBURG RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071874",
            "telephone_number": "630-837-7775",
            "fax_number": "630-837-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 E SCHAUMBURG",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071874",
            "telephone_number": "630-837-7775",
            "fax_number": "630-837-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHL",
        "first_name": "ERIC",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BHC Streamwood Hospital Inc (John Costigan Residential)
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• Agnieszka Wanda Bis, COTA/ L
• Mallory Bizeau
• Bold Spark, Inc. (The Oaks Counseling Center)
• Magdalena Borek
• Ralph Burgos, BSN RN
• Patricia Bustamante
• Caring for All

• General Practice Dentistry in Streamwood, IL
• Providers in Streamwood, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.