Individual
BONITA ANN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 N MCCLURG CT APT 2202, CHICAGO, IL 60611-5388
(312) 848-4259
Mailing address
505 NORTH MCCLURG COURT, UNIT 2202, CHICAGO, IL 60611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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