Bogard, Shyrlena L

Bogard, Shyrlena L is an individual health care provider with primary practice located at 920 West St Bldg B, Peru IL 61354-2763. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is her primary health care specialty. Bogard, Shyrlena L can be contacted via phone (815) 223-2944.

Contact Information

Primary practice address
920 West St Bldg B Peru IL 61354-2763
Phone: (815) 223-2944
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 036126361 Illinois
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 036126361 Illinois
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 036.126361 Illinois

Profile Details

NPI number 1467615898
LBN Legal business name Bogard, Shyrlena L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2008
Last updated Jul 31st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467615898 NPPES
Illinois MEDICAID 036126361

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