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Individual

RAMON BONIFACIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APN, PMHNP-BC

Contact information

Practice address
1 N STATE ST FL 15, CHICAGO, IL 60602-3206
(312) 600-3991
(630) 473-2232
Mailing address
2918 W LOGAN BLVD UNIT 3E, CHICAGO, IL 60647-1732
(773) 810-9120

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.033588
IL

Other

Enumeration date
10/21/2025
Last updated
01/20/2026
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