Individual
ROBERT M BONAMINIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2850 W. 95TH ST, SUITE 103, EVERGREEN PARK, IL 60805-2735
(708) 636-9205
(708) 229-6075
Mailing address
2850 W. 95TH ST, SUITE 103, EVERGREEN PARK, IL 60805-2735
(708) 636-9205
(708) 229-6075
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036094083
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094083
—
IL
Enumeration date
05/18/2006
Last updated
06/18/2014
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