Individual
GIANCARLO BONIFAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1360 WINSTON PLZ, MELROSE PARK, IL 60160-1508
(708) 483-0072
(708) 551-3982
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070021629
IL
Other
Enumeration date
08/20/2015
Last updated
06/14/2024
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