Organization
BONAVENTURE MEDICAL FOUNDATION, LLC
Active
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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