Individual
STEVEN R BONOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-5210
Mailing address
1900 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-5210
(312) 864-9633
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036098541
IL
Other
Enumeration date
12/21/2005
Last updated
04/22/2021
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