Bonilla, Juan Jose

Bonilla, Juan Jose is an individual health care provider with primary practice located at 1325 N Highland Ave , Aurora IL 60506-1449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bonilla, Juan Jose can be contacted via phone (630) 801-5700.

Contact Information

Primary practice address
1325 N Highland Ave Aurora IL 60506-1449
Phone: (630) 801-5700
Fax: (630) 801-5704
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 1049084 Indiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036083958 Illinois

Profile Details

NPI number 1558327015
LBN Legal business name Bonilla, Juan Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 17th, 2021 - about 3 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 1558327015 NPPES
Illinois MEDICAID 36083958
Illinois Other 526620
Illinois Other 202172
Illinois Other 344390

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