# ROBERT J. BONK, D.O., LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992023600
- **Authorized official:** ROBERT BONK (PRESIDENT)
- **Authorized official phone:** (708) 499-1512

## Contact information

- **Practice address:** 3900 WEST 95TH STREET, EVERGREEN PARK, IL 60805
- **Practice address phone:** (708) 499-1512
- **Mailing address:** 3900 W 95TH ST, EVERGREEN PARK, IL 60805-1922

## Taxonomy

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

## Other

- **Enumeration date:** 05/06/2010
- **Last updated:** 05/06/2010