Jeremy Bonsol,llc - Chicago, IL

Jeremy Bonsol,llc

Clinic/Center in Chicago, Illinois

NPI 1013210269

Jeremy Bonsol,llc is a Clinic/Center based in Chicago, IL. Jeremy Bonsol,llc practices in Chicago, IL. The NPI Number for Jeremy Bonsol,llc is 1013210269 and holds a License No. (Illinois).

The current practice location address for Jeremy Bonsol,llc is 3514 N Southport Ave, Chicago, IL and can be reached out via phone at 773-248-2544 and via fax at 505-213-3515.

Location: 3514 N Southport Ave, Chicago, IL, 60657-1436

NPI Number

1013210269

Provider Name

Jeremy Bonsol,llc

Credential

Provider Entity Type

Organization

Address

3514 N Southport Ave, Chicago, IL, 60657-1436

Phone Number

773-248-2544

Fax Number

505-213-3515

Provider Enumeration Date

12/09/2010

Last Update Date

03/09/2024

Address

3514 N Southport Ave

City

Chicago

State

Illinois

Zip

60657-1436

Phone Number

773-248-2544

Fax Number

505-213-3515

Address

3514 N Southport Ave

City

Chicago

State

Illinois

Zip

60657-1436

Phone Number

773-248-2544

Fax Number

505-213-3515

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Taxonomy

261Q00000X

License No.

(Illinois)

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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