Individual provider · Type 1 NPI
Kimberly Bohac
Nurse Practitioner · Chicago, IL
Practice location
850 W Irving Park Rd
Chicago, IL 60613-3077
Fax (773) 904-1359
Mailing address
1319 N Wood St Apt 3C
Chicago, IL 60622-1184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209021025 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1871128686
Kimberly Bohac's National Provider Identifier is 1871128686, issued on Mar 12, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 2, 2026.