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Portia Bonebrake, M.D
NPI 1073673760 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2542 W North Ave
Chicago, IL 60647 - Phone
- (773) 365-7277
- Fax
- (773) 365-3091
- Organisation at this address
- Community Counseling Centers Of Chicago
Community Counseling Centers Of ChicagoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 30
Registry record
- Primary taxonomy
- Psychiatry Physician
2084P0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-10-28
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