Individual
MR. BARRY BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
18300 GOVERNORS HWY, HOMEWOOD, IL 60430-2910
(708) 799-8301
Mailing address
18142 66TH CT APT 302, TINLEY PARK, IL 60477-4166
(708) 704-4181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051291176
IL
Other
Enumeration date
12/17/2011
Last updated
12/17/2011
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