Search › Illinois › 183500000X
Bret Boucher
NPI 1285061887 · on the registry since 2013
Practice
- Address
- 901 W Lake Ave
Peoria, IL 61614 - Phone
- (309) 682-2761
- Fax
- (309) 682-4267
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-09-27
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