Bonilla, Marco

Bonilla, Marco is an individual health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bonilla, Marco can be contacted via phone (773) 702-1000.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1443
Phone: (773) 702-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 305527 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036159902 Illinois

Profile Details

NPI number 1932636636
LBN Legal business name Bonilla, Marco
Credentials MEDICINE DOCTOR
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2017
Last updated Aug 5th, 2022 - 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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