SearchIllinois2255A2300X

Kathleen Bonamer

NPI 1811311707 · on the registry since 2014 · sole proprietor

Practice

Address
1014 W Barry Ave
Apt 1
Chicago, IL 60657
Phone
(708) 408-5214

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-02-12

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