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Individual

DR. FRANK BONGIOVANNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1660 FEEHANVILLE DR STE 100, MOUNT PROSPECT, IL 60056-6019
(847) 390-7666
(847) 390-9345
Mailing address
1660 FEEHANVILLE DR STE 450, MOUNT PROSPECT, IL 60056-6023
(847) 390-7666
(847) 390-9345

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-005164
IL
213ES0131X
Foot Surgery Podiatrist
016005164
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016005164
IL
01
60000380
BCBS
IL
Enumeration date
07/08/2005
Last updated
01/12/2022
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