Organization
ROBERT J. BONK, D.O., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BONK (PRESIDENT)
(708) 499-1512
Entity
Organization
Contact information
Practice address
3900 WEST 95TH STREET, EVERGREEN PARK, IL 60805
(708) 499-1512
Mailing address
3900 W 95TH ST, EVERGREEN PARK, IL 60805-1922
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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