Foggie, Goldwyn Bonner
Foggie, Goldwyn Bonner is an individual health care provider with primary practice located at 15620 Wood St , Harvey IL 60426-4171. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Foggie, Goldwyn Bonner can be contacted via phone (708) 333-3030.Contact Information
Primary practice address
15620 Wood St
Harvey IL 60426-4171
Phone: (708) 333-3030
Fax: (708) 333-6060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036094353 | Illinois |
Profile Details
| NPI number | 1013925387 |
|---|---|
| LBN Legal business name | Foggie, Goldwyn Bonner |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Aug 8th, 2023 - about 2 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 | 1013925387 | NPPES |
| Illinois | MEDICAID | 036094353 |
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