Bonoris, Athanasios
Bonoris, Athanasios is an individual health care provider with primary practice located at 1726 S Elm St , Des Plaines IL 60018-2216. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bonoris, Athanasios can be contacted via phone (847) 824-4873.Contact Information
Primary practice address
1726 S Elm St
Des Plaines IL 60018-2216
Phone: (847) 824-4873
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036-077564 | Illinois |
Profile Details
| NPI number | 1962453027 |
|---|---|
| LBN Legal business name | Bonoris, Athanasios |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Jun 23rd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962453027 | NPPES |
| Illinois | MEDICAID | 036077564 | |
| Illinois | Other | 01607270 | |
| Illinois | Other | 110132651 |
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