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Contact Information

KELLEY BOHM, MD
836 W WELLINGTON AVE
CHICAGO, IL60657-5147
 Phone: 773-296-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for KELLEY BOHM · (Female)

NPI # 1609238443
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2016
Last updated 08/06/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.157398
  • NY License # 332035
Hospital affiliation(s)
  • ADVOCATE ILLINOIS MASONIC MEDICAL CENTER - (Acute Care)
    836 WEST WELLINGTON AVENUE
    CHICAGO, IL 60657
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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