Individual
DR. JERRY P BONET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1415 W 47TH ST, LA GRANGE, IL 60525-6136
(708) 352-5652
(708) 352-2105
Mailing address
1415 W 47TH ST, LA GRANGE, IL 60525-6136
(708) 352-5652
(708) 352-2105
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
016-00316-0
IL
Other
Enumeration date
05/19/2006
Last updated
09/10/2012
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