Individual
MRS. CHRISTINE M BONAVOLANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1441 BRANDING AVE STE 310, DOWNERS GROVE, IL 60515-5624
(630) 571-8990
(630) 829-1080
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(630) 946-7682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10205-123
WI
1041C0700X
Clinical Social Worker
Primary
149-006100
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100310907
—
WI
Enumeration date
12/19/2006
Last updated
06/05/2025
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