Individual
BONNIE M. NOWAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
520 S MAPLE AVE, OAK PARK, IL 60304-1022
(708) 383-9300
Mailing address
520 S MAPLE AVE, OAK PARK, IL 60304-1022
(708) 383-9300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-094600
IL
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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