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1306536222
ELLISON BONNER
CHICAGO, IL
NPI
1306536222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 150.110672)
Enumeration Date
2023-05-12
Last Update Date
2023-05-12
Business Address
ELLISON BONNER
1552 W FULLERTON AVE STE 100
CHICAGO, IL 60614-9018
Phone number: 773-270-5600
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Mailing Address
ELLISON BONNER
2 W DELAWARE PL UNIT 1204
CHICAGO, IL 60610-3406
Phone number: 630-299-6916
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