# JEREMY BONSOL,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aligned Modern Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013210269
- **Authorized official:** JEREMY BONSOL DC (DIRECTOR)
- **Authorized official phone:** (773) 663-5351

## Contact information

- **Practice address:** 3514 N SOUTHPORT AVE, CHICAGO, IL 60657-1436
- **Practice address phone:** (773) 248-2544
- **Practice address fax:** (505) 213-3515
- **Mailing address:** 3514 N SOUTHPORT AVE, CHICAGO, IL 60657-1436
- **Mailing address phone:** (773) 248-2544
- **Mailing address fax:** (505) 213-3515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 12/09/2010
- **Last updated:** 12/09/2010