Bonello, Julius P.

Bonello, Julius P. is an individual health care provider with primary practice located at 1001 Main Street Suite 300, Peoria IL 61606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bonello, Julius P. can be contacted via phone (309) 495-0200.

Contact Information

Primary practice address
1001 Main Street Suite 300 Peoria IL 61606
Phone: (309) 495-0200
Fax: (309) 676-6545
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036058876-1 Illinois
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036058876 Illinois

Profile Details

NPI number 1093751257
LBN Legal business name Bonello, Julius P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Feb 1st, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093751257 NPPES
Illinois Other 7215166 BCBS
Illinois MEDICAID 036058876-1 BCBS

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