Individual
PHYLLIS N BONAMINIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5540 W 111TH ST, OAK LAWN, IL 60453-5574
(708) 423-8440
(708) 658-2962
Mailing address
7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
(708) 361-0600
(708) 923-2329
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036104900
IL
Other
Enumeration date
10/17/2005
Last updated
12/31/2018
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