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1073673760
PORTIA BONEBRAKE
CHICAGO, IL
NPI
1073673760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 036-112602)
Enumeration Date
2006-12-11
Last Update Date
2008-10-28
Business Address
-- PORTIA BONEBRAKE M.D.
2542 W NORTH AVE
CHICAGO, IL 60647-5216
Phone number: 773-365-7277
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Mailing Address
-- PORTIA BONEBRAKE M.D.
2542 W NORTH AVE
CHICAGO, IL 60647-5216
Phone number: 773-365-7277
Copy
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