SearchIllinois347C00000X

Komitse Gbohla

NPI 1487444246 · on the registry since 2025 · sole proprietor

Practice

Address
3534 70th St Apt 302
Moline, IL 61265
Phone
(310) 866-5446

Registry record

Primary taxonomy
347C00000X
347C00000X
Sex
Male
Record last updated
2025-05-21

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