Search › Illinois › 207Q00000X
Boguslaw Bonczak, M.D
NPI 1881893303 · on the registry since 2007
Practice
- Address
- 3715 Municipal Dr
Mchenry, IL 60050 - Phone
- (815) 759-1953
- Fax
- (224) 610-3815
- Organisation at this address
- James A Lovell Federal Health Care Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Additional practice sites
- 235 S Rand Rd, Lake Zurich, IL
- 360 Station Dr Fl 3, Crystal Lake, IL
- 650 Dakota St Ste A, Crystal Lake, IL
- 2971 W Algonquin Rd, Algonquin, IL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-27
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