GIAN BONADOR

CHICAGO, IL
NPI1770068421
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209.018275)
Enumeration Date2018-09-28
Last Update Date2018-09-28
Business Address
GIAN BONADOR APN
1134 W GRANVILLE AVE APT 715
CHICAGO, IL 60660-5047
Phone number: 312-810-3777
Mailing Address
GIAN BONADOR APN
1134 W GRANVILLE AVE APT 715
CHICAGO, IL 60660-5047
Phone number: 312-810-3777
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