Individual
MR. BRIAN BONAMARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1510 OLD DEERFIELD RD, SUITE 221, HIGHLAND PARK, IL 60035-3068
(224) 223-3484
(847) 926-7211
Mailing address
1510 OLD DEERFIELD RD., SUITE 221, HIGHLAND PARK, IL 60035
(224) 223-3484
(847) 926-7211
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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