Search › Illinois › 122300000X
Jerri Boughan, DMD
NPI 1982719431 · on the registry since 2006
Practice
- Address
- 2300 James St
Lawrenceville, IL 62439 - Phone
- (618) 943-5664
- Fax
- (618) 943-4037
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-02
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