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Individual

EMO BONAMINIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1441 MERCHANT DR, ALGONQUIN, IL 60102-1289
(847) 458-4600
(847) 458-4602
Mailing address
1441 MERCHANT DR, ALGONQUIN, IL 60102-5917
(847) 458-4600
(847) 458-4602

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004710
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016004710
IL
Enumeration date
08/01/2006
Last updated
12/06/2021
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