# DR. CHAD E BONHOMME

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760432470
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | 01053007A | IN | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 01053007A | IN | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 48008020 | WI | — |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 08/01/2025

## 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 |