Individual
JOHN BONENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1108 N CARBON ST, MARION, IL 62959-1067
(618) 997-5856
(618) 997-5953
Mailing address
1108 N CARBON ST, MARION, IL 62959-1067
(618) 997-5856
(618) 997-5953
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2798
IL
Other
Enumeration date
04/26/2007
Last updated
08/28/2013
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