BOHANNAN MEDICAL DIST., LLC
NPI 1225499080
Durable Medical Equipment & Medical Supplies in Dunlap, IL

Q: What is Bohannan Medical Dist., LLC's NPI number?

The NPI number for Bohannan Medical Dist., LLC is 1225499080. It was assigned to this organization in the NPPES registry on March 8, 2016.

Q: What is Bohannan Medical Dist., LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since March 08, 2016

11417 N BOULDER CREEK CT, DUNLAP, IL 61525(309) 678-8081 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bohannan Medical Dist., Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOHANNAN MEDICAL DIST., LLC (NPI 1225499080) is a healthcare organization registered as a durable medical equipment & medical supplies in Dunlap, Illinois and active in the NPI registry since March 2016. The organization lists Tommy Bohannan, Owner, as its authorized official.

NPPES Registry Identity

NPI1225499080

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameBOHANNAN MEDICAL DIST., LLC

Location Address11417 N BOULDER CREEK CTDunlap, IL 61525-1500

Mailing Address11417 N Boulder Creek CtDunlap, IL 61525-1500 · (309) 678-8081

Phone(309) 678-8081

Organization SubpartNo

Authorized OfficialTommy BohannanOwner · (309) 678-8081

Enumeration DateMarch 8, 2016

✔ NPI 1225499080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

11417 N BOULDER CREEK CT, Dunlap, IL 61525

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TOMMY BOHANNAN

Durable Medical Equipment & Medical Supplies

11417 N BOULDER CREEK CT
DUNLAP, IL 61525

Peoria County (309) 678-8081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bohannan Medical Dist., LLC's NPI number?

The NPI number for Bohannan Medical Dist., LLC is 1225499080. It was assigned to this organization in the NPPES registry on March 8, 2016.

Where is Bohannan Medical Dist., LLC located?

Bohannan Medical Dist., LLC is located at 11417 N Boulder Creek Ct, Dunlap, IL 61525. The listed phone number is (309) 678-8081.

What is Bohannan Medical Dist., LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Bohannan Medical Dist., LLC was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.