BONAVENTURE I OGU

CHICAGO, IL
NPI1659220069
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  2025086017)
Enumeration Date2026-01-27
Last Update Date2026-03-11
Business Address
BONAVENTURE I OGU
4554 N BROADWAY ST STE 218
CHICAGO, IL 60640-5671
Phone number: 773-554-2490
Mailing Address
BONAVENTURE I OGU
1906 LEE ST
EVANSTON, IL 60202-1537
Phone number:
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