Individual
CHRISTIAN SCOTT BONZHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
635 N DEARBORN ST STE 100, CHICAGO, IL 60654-4618
(312) 694-2273
(312) 694-2129
Mailing address
635 N DEARBORN ST STE 100, CHICAGO, IL 60654-4618
(312) 694-2273
(312) 694-2129
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007715
IL
363A00000X
Physician Assistant
5601009987
MI
Other
Enumeration date
04/02/2020
Last updated
12/09/2024
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