SearchIllinois246ZS0410X

Mitchell Bogda, CST

NPI 1427508076 · on the registry since 2016 · sole proprietor

Practice

Address
132 Bertram Dr Unit K
Yorkville, IL 60560
Phone
(630) 418-8008

Registry record

Primary taxonomy
246ZS0410X
246ZS0410X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-06

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