Bonavolonta, Michelle M
Bonavolonta, Michelle M is an individual health care provider with primary practice located at 27650 Ferry Rd Suite 100, Warrenville IL 60555-3845. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bonavolonta, Michelle M can be contacted via phone (630) 225-2663.Contact Information
Primary practice address
27650 Ferry Rd Suite 100
Warrenville IL 60555-3845
Phone: (630) 225-2663
Fax: (630) 225-2399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 056-000708 | Illinois |
Profile Details
| NPI number | 1669428801 |
|---|---|
| LBN Legal business name | Bonavolonta, Michelle M |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jun 23rd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669428801 | NPPES |
| Illinois | Other | P01185607 | RR MEDICARE |
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