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1801908363
JORGE BONILLA
BOURBONNAIS, IL
NPI
1801908363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180007901)
Enumeration Date
2006-08-31
Last Update Date
2011-09-28
Business Address
-- JORGE BONILLA
1 UNIVERSITY AVE
BOURBONNAIS, IL 60914-2345
Phone number: 815-928-5775
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Mailing Address
-- JORGE BONILLA
1362 ARGYLE LN S
BOURBONNAIS, IL 60914-5108
Phone number: 217-828-0033
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