Kimberly Bohac

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209021025 Issued in IL

Practice address

850 W Irving Park Rd
Chicago, IL 60613-3077

Phone

(773) 299-9272

Fax

(773) 904-1359

NPI assigned

Mar 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Rossi Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Loyola University of Chicago, Stritch School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thorek Memorial HospitalGroup PAC ID 4981593399, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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

• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982643961
  Medicare reassignment Care Compare group NPD
• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1891755351
  NPD
• Thorek Radiology Group NFP

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1588261978
  NPD

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1871128686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 N WOOD ST APT 3C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133077",
            "telephone_number": "773-299-9272",
            "fax_number": "773-904-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHAC",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209021025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ROSSI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dana Bogolin, PHARMD
• Richard David Bograd I, LCSW
• Dana Bogseth, MS, RDN, LDN
• Erica Bohac
• Gerry C Bohac, M.D.
• Bridget Anne Bohan, PT, DPT
• Erin Bohannan, LDN
• Mary Katherine Bohannon, LCSW
• Shenika Bohannon, RN-BSN
• Bohdan Dudas MD SC

• Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.