MICHAEL G BONIFACIO

CHICAGO, IL
NPI1275310146
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209028167)
Enumeration Date2023-09-13
Last Update Date2023-09-13
Business Address
MICHAEL G BONIFACIO PMHNP-BC
2918 W LOGAN BLVD
CHICAGO, IL 60647-1732
Phone number: 773-817-2577
Mailing Address
MICHAEL G BONIFACIO PMHNP-BC
2918 W LOGAN BLVD
CHICAGO, IL 60647-1732
Phone number: 773-817-2577
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