Individual
MR. MICHAEL J BONHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8800 RT 91 N, PEORIA, IL 61615
(309) 683-4723
Mailing address
146 SUNSET CT, MORTON, IL 61550-2640
(309) 266-7202
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
—
IL
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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