Individual
JOSE A. BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036176016
IL
207L00000X
Anesthesiology Physician
13867759-1205
UT
Other
Enumeration date
03/30/2020
Last updated
09/24/2025
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