Individual
MRS. BONNIE MITCHELL WICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
98 VENICE AVE, FOX LAKE, IL 60020-1534
(847) 722-4880
(847) 654-0034
Mailing address
161 NATOMA ST, SAN FRANCISCO, CA 94105-3746
(619) 648-1247
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
277001567
IL
363L00000X
Nurse Practitioner
Primary
8623-33
WI
363L00000X
Nurse Practitioner
A151788
IA
Other
Enumeration date
05/08/2015
Last updated
10/15/2025
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