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Search › Illinois › 183500000X

Eric Bomba

NPI 1558965269 · on the registry since 2020

Practice

Address
5 Illini Dr
Glen Carbon, IL 62034
Phone
(618) 359-7339
Organisation at this address
Sams West Inc
Sam'S West Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

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
2020-11-23

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