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Ian Bonner
NPI 1245661511 · on the registry since 2013 · sole proprietor
Practice
- Address
- 5315 N Clark St # 215
Chicago, IL 60640 - Phone
- (908) 229-3578
- Organisation at this address
- Freelife Behavioral Health Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-31
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