Bonilla, Lilia Ivette

Bonilla, Lilia Ivette is an individual health care provider with primary practice located at 1313 W Chicago Ave , East Chicago IN 46312-3316. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bonilla, Lilia Ivette can be contacted via phone (219) 398-9685.

Contact Information

Primary practice address
1313 W Chicago Ave East Chicago IN 46312-3316
Phone: (219) 398-9685
Fax: (219) 398-9695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001263A Indiana

Profile Details

NPI number 1023040458
LBN Legal business name Bonilla, Lilia Ivette
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Mar 8th, 2021 - about 4 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 1023040458 NPPES
Indiana MEDICAID 200848650
Indiana Other 71001263B

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