Individual
SHEILA BONAGURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5354
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5354
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036076013
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36076013
—
IL
Enumeration date
08/18/2006
Last updated
12/20/2021
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