Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 038-005539 | IL |
NPI | 1003995739 |
---|---|
Provider Name | Dr. William Joseph Bojak |
First Address | Naperville, IL 60563-3047 |
Second Address | Naperville, IL 60563-3047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 15/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
IL3386 | (02) | IL |