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Brianna Bonifer
NPI 1306781513 · on the registry since 2026
Practice
- Address
- 4108 Fieldstone Rd Ste A
Champaign, IL 61822 - Phone
- (217) 907-5002
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-22
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