Individual
DR. BRUCE EDWARD BONECUTTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
30 N MICHIGAN AVE, SUITE 1922, CHICAGO, IL 60602-3402
(708) 848-7560
(708) 848-7560
Mailing address
1135 N ELMWOOD AVE, OAK PARK, IL 60302-1246
(708) 848-7560
(708) 848-7560
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20040730A
IN
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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