Organization
BOBBY BUONAURO CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BUONAURO (EXECUTIVE DIRECTOR/OWNER)
(847) 869-1808
Entity
Organization
Contact information
Practice address
1029 HOWARD ST STE 303, EVANSTON, IL 60202-3877
(847) 869-1808
(847) 869-1950
Mailing address
1029 HOWARD ST STE 303, EVANSTON, IL 60202-3877
(847) 869-1808
(847) 869-1950
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-8746-0001-A
IL
Other
Enumeration date
09/06/2017
Last updated
08/15/2022
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