person
Lilia Ivette Bonilla, FNP
Family Nurse Practitioner in East Chicago, Indiana
NPI 1023040458

Lilia Ivette Bonilla is a Family Nurse Practitioner based in Valparaiso, IN and is specialized in Family. Lilia Ivette Bonilla practices in East Chicago, IN and has the professional credentials of FNP. The NPI Number for Lilia Ivette Bonilla is 1023040458 and holds a License No. 71001263A (Indiana).

The current practice location address for Lilia Ivette Bonilla is 1313 W Chicago Ave, East Chicago, IN and can be reached out via phone at 219-398-9685 and via fax at 219-398-9695.

Location: 1313 W Chicago Ave, East Chicago, IN, 46383-2520
person
Provider Profile Details
NPI Number
1023040458
Provider Name
Lilia Ivette Bonilla
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1313 W Chicago Ave, East Chicago, IN, 46383-2520
Phone Number
219-398-9685
Fax Number
219-398-9695
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200848650 05 IN
71001263B 01 CSR
institution
Provider Business Practice Location Address Details
Address
1313 W Chicago Ave
City
State
Zip
46312-3316
Phone Number
219-398-9685
Fax Number
219-398-9695
person
Provider Business Mailing Address Details
Address
1313 W Chicago Ave
City
State
Zip
46312-3316
Phone Number
219-398-9685
Fax Number
219-398-9695
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71001263A (Indiana)
Definition
Definition to come...
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