SearchIllinois374J00000X

Kristina Bogue

NPI 1932984796 · on the registry since 2023 · sole proprietor

Practice

Address
16108 Anderson Rd
Pecatonica, IL 61063
Phone
(865) 201-7539

Registry record

Primary taxonomy
374J00000X
374J00000X
Sex
Female
Record last updated
2023-08-30

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