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Individual
DR. CHAD E BONHOMME
Active
Individual
DR. CHAD E BONHOMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01053007A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01053007A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
48008020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316998578
GROUP PRACTICE NPI
IL
01
—
1616378
BCBS
IL
01
—
7478874
AETNA
IL
01
—
K31800
MEDICARE PIN-LOCALITY 15
IL
01
—
K31805
MEDICARE PIN-LOCALITY 16
IL
01
—
P00352819
RRMC-LOCALITY 16
IL
01
—
P00392473
RRMC-LOCALITY 15
IL
01
—
P01191751
RR MEDICARE PTAN
IN
Enumeration date
05/11/2006
Last updated
08/01/2025
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