Individual
MICHAEL G BONIFACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2918 W LOGAN BLVD, CHICAGO, IL 60647-1732
(773) 817-2577
Mailing address
2918 W LOGAN BLVD, CHICAGO, IL 60647-1732
(773) 817-2577
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209028167
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277005466
IL
Other
Enumeration date
09/13/2023
Last updated
04/20/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us