Search › Illinois › 207P00000X
Matthew Bonomo, MD
NPI 1003551672 · on the registry since 2022 · sole proprietor
Practice
- Address
- 5841 S. Maryland Ave.
M/C 5068
Chicago, IL 60637 - Phone
- (773) 702-9109
- Fax
- (773) 702-3135
- Organisation at this address
- Lifenet, Inc.
Medcentrix Inc
Hillary Hecktman
University Of Chicago
University Of ChicagoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2,773
Additional practice sites
- 10855 Virginia St, Crown Point, IN
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
390200000X - Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois