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Individual

ALISON KATHERINE BONK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N. P.

Contact information

Practice address
310 N SAN VICENTE BLVD FL 3, WEST HOLLYWOOD, CA 90048-1810
(310) 423-9331
Mailing address
4400 W 95TH ST STE 413, OAK LAWN, IL 60453-2662
(708) 346-4055

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012885
IL

Other

Enumeration date
08/06/2012
Last updated
12/12/2021
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