Individual
STEVEN BONASERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRADC
Contact information
Practice address
2260 N ELSTON AVE, CHICAGO, IL 60614-2930
(773) 772-2450
Mailing address
2260 N ELSTON AVE, CHICAGO, IL 60614-2930
(773) 772-2450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16641
IL
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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