Eric W Bohl, DDS
Individual provider Active NPI General Practice Dentistry · Streamwood, IL
NPI 1467620195 · NPPES record last updated Aug 20, 2015
Key facts
- NPI
- 1467620195
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019018710 (IL)
- Practice address
- 1024 E Schaumburg
Streamwood, IL 60107-1874 - Phone
- (630) 837-7775
- Fax
- (630) 837-6440
- NPI assigned
- Feb 15, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019018710 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric W Bohl DDS LTD | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019018710 | IL | Yes |
Addresses
Primary practice location
1024 E Schaumburg
Streamwood, IL 60107-1874
Mailing address
1024 E Schaumburg Rd
Streamwood, IL 60107-1874
Phone (630) 837-7775
Other providers in Streamwood, IL
- BHC Streamwood Hospital Inc
- BHC Streamwood Hospital Inc.
- Biobloom Diagnostics LLC
- Agnieszka Wanda Bis
- Mallory Bizeau
- Bold Spark, Inc.
- Magdalena Borek
- Ralph Burgos
- Patricia Bustamante
- Caring for All
All providers in Streamwood, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.