Search › Illinois › 101YM0800X
Jorge Bonilla
NPI 1801908363 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1 University Ave
Bourbonnais, IL 60914 - Phone
- (815) 928-5775
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-28
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