Organization
BONAFIDE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BONIFACIO PMHNP-BC (CEO)
(872) 265-1588
Entity
Organization
Contact information
Practice address
2918 W LOGAN BLVD UNIT 3E, CHICAGO, IL 60647-1732
(872) 265-1588
Mailing address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
(872) 265-1588
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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