Individual
DR. RICHARD H BONGARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
TINLEY PARK MENTAL HEALTH CENTER, 7400 WEST 183RD STREET, TINLEY PARK, IL 60477-3695
(708) 614-4000
Mailing address
TINLEY PARK MENTAL HEALTH CENTER, 7400 WEST 183RD STREET, TINLEY PARK, IL 60477-3695
(708) 614-4000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36056637
IL
Other
Enumeration date
09/13/2005
Last updated
07/08/2007
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