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Search › Illinois › 152W00000X

Olivia Boehnke

NPI 1174179584 · on the registry since 2019

Practice

Address
110 Davidson Rd
Mount Vernon, IL 62864
Phone
(618) 244-5748
Organisation at this address
Walmart Inc.
Wal-Mart Stores, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois