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Organization

BONAVENTURE MEDICAL FOUNDATION, LLC

Active
Parent organization
BONAVENTURE MEDICAL FOUNDATION
Other names
Alexian Brothers Medical Group, Alexian Brothers Medical Foundation
Organization subpart
Yes

Provider details

NPI number
Legal business name
BONAVENTURE MEDICAL FOUNDATION
Authorized official
REINHOLD LLERENA (CEO)
(855) 692-6482
Entity
Organization

Contact information

Practice address
701 BIESTERFIELD RD UNIT 4D, ELK GROVE VILLAGE, IL 60007-3309
(855) 692-6482
Mailing address
701 BIESTERFIELD RD UNIT 4D, ELK GROVE VILLAGE, IL 60007-3309

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
08/31/2006
Last updated
10/31/2025
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