Joseph Bonanno, D.O

NPI 1891094546 · on the registry since 2011

Practice

Address: 1010 Dixie Hwy Ste 313
Chicago Heights, IL 60411
Phone: (708) 755-2490
Fax: (708) 755-2495
Organisation at this address: National Office Of Program Development, Inc.
Mindcare Physical Medicine & Rehab Clinic, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207VX0201X
207VX0201X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-03-21

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