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SHYRLENA L BOGARD MD NPI 1467615898


NPI Information

NPI: 1467615898
Provider Name: SHYRLENA L BOGARD, MD
Classification: Clinic/Center - 261Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
920 WEST ST
BLDG B
PERU, IL
ZIP 61354
Phone: (815) 223-2944
Get Directions

Shyrlena L Bogard, MD is a clinic center in Peru, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). Shyrlena L Bogard, MD NPI is 1467615898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

920 WEST ST
BLDG B
PERU, IL
ZIP 61354-763
Phone: (815) 223-2944

The NPI 1467615898 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2008 and was last updated on 7/31/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecology036126361ILLINOISNo
2207VX0000XObstetrics & GynecologyObstetrics036126361ILLINOISNo
3261Q00000XClinic/Center036.126361ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1819300023MEDICARE PINILLINOIS
2036126361MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.