Individual
KATHLEEN BONAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 W BARRY AVE, APT 1, CHICAGO, IL 60657-4310
(708) 408-5214
Mailing address
1014 W BARRY AVE, APT 1, CHICAGO, IL 60657-4310
(708) 408-5214
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002567
IL
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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