Organization
BONILLA PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA REAL BONILLA LCPC (OWNER)
(312) 415-1107
Entity
Organization
Contact information
Practice address
119 E OGDEN AVE STE 200B, HINSDALE, IL 60521-3590
(312) 415-1107
Mailing address
119 E OGDEN AVE STE 200B, HINSDALE, IL 60521-3590
(312) 415-1107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
06/02/2024
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