Individual
DR. STEPHANIE LYNN BONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4440 W 95TH ST STE 183, OAK LAWN, IL 60453-2600
(708) 684-4393
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1974
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
25MA09658400
NJ
2086S0127X
Trauma Surgery Physician
Primary
036122786
IL
2086S0127X
Trauma Surgery Physician
25MA09658400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0476277
—
NJ
Enumeration date
08/05/2008
Last updated
12/23/2024
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