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Jorge Bonilla SR.
Mental Health Counselor in Bourbonnais, Illinois
NPI 1801908363

Jorge Bonilla SR. is a Mental Health Counselor based in Bourbonnais, IL and is specialized in Mental Health. Jorge Bonilla SR. practices in Bourbonnais, IL. The NPI Number for Jorge Bonilla SR. is 1801908363 and holds a License No. 180007901 (Illinois).

The current practice location address for Jorge Bonilla SR. is 1 University Ave, Bourbonnais, IL and can be reached out via phone at 815-928-5775.

Location: 1 University Ave, Bourbonnais, IL, 60914-5108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801908363
Provider Name
Jorge Bonilla SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 University Ave, Bourbonnais, IL, 60914-5108
Phone Number
815-928-5775
Fax Number
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1 University Ave
City
Bourbonnais
State
Illinois
Zip
60914-2345
Phone Number
815-928-5775
Fax Number
person
Provider Business Mailing Address Details
Address
1 University Ave
City
Bourbonnais
State
Illinois
Zip
60914-2345
Phone Number
815-928-5775
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
180007901 (Illinois)
Definition
Definition to come...
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