Bonner, Ian

Bonner, Ian is an sole proprietor health care provider with primary practice located at 5315 N Clark St # 215 , Chicago IL 60640-2290. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bonner, Ian can be contacted via phone (908) 229-3578.

Contact Information

Primary practice address
5315 N Clark St # 215 Chicago IL 60640-2290
Phone: (908) 229-3578
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.008712 Illinois

Profile Details

NPI number 1245661511
LBN Legal business name Bonner, Ian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2013
Last updated Aug 31st, 2020 - about 6 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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