JORGE BONILLA

BOURBONNAIS, IL
NPI1801908363
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180007901)
Enumeration Date2006-08-31
Last Update Date2011-09-28
Business Address
-- JORGE BONILLA
1 UNIVERSITY AVE
BOURBONNAIS, IL 60914-2345
Phone number: 815-928-5775
Mailing Address
-- JORGE BONILLA
1362 ARGYLE LN S
BOURBONNAIS, IL 60914-5108
Phone number: 217-828-0033
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