Individual
STEPHEN MICHAEL BONZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
2800 N SHERIDAN RD, SUITE 600, CHICAGO, IL 60657-6156
(773) 470-6994
Mailing address
2116 W ADDISON ST, 2F, CHICAGO, IL 60618-6145
(773) 470-6994
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000523
IL
Other
Enumeration date
02/16/2009
Last updated
02/16/2009
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