PORTIA BONEBRAKE

CHICAGO, IL
NPI1073673760
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: IL  036-112602)
Enumeration Date2006-12-11
Last Update Date2008-10-28
Business Address
PORTIA BONEBRAKE M.D.
2542 W NORTH AVE
CHICAGO, IL 60647-5216
Phone number: 773-365-7277
Mailing Address
PORTIA BONEBRAKE M.D.
2542 W NORTH AVE
CHICAGO, IL 60647-5216
Phone number: 773-365-7277