Organization
BONAVENTURE MEDICAL FOUNDATION, LLC
Active
Other names
Alexian Brothers Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
REINHOLD LLERENA MD (MEDICAL DIRECTOR)
(224) 273-8908
Entity
Organization
Contact information
Practice address
25 E SCHAUMBURG RD STE 200, SCHAUMBURG, IL 60194-3548
(847) 252-6090
Mailing address
25 E SCHAUMBURG RD STE 200, SCHAUMBURG, IL 60194-3548
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
12/01/2021
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