Individual
JAMES J BONK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 CENTRAL ST, EVANSTON, IL 60208-0840
(847) 491-2406
Mailing address
1501 CENTRAL ST, EVANSTON, IL 60208-0840
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003847
IL
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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