Lawrence M. Bonanno in Chicago - General Practice

Lawrence M. Bonanno - NPI 1992969489

Lawrence M. Bonanno is a General Practice in Chicago, Illinois. Lawrence M. Bonanno practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lawrence M. Bonanno is 1992969489. The last update date is 2009-10-14.

Lawrence M. Bonanno's current location address is 4801 W. Peterson Ave, Chicago, Illinois. You can contact this provider via phone number 7736859666 and fax number 7736851967. The mailing address for Lawrence M. Bonanno is 4801 W. Peterson Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Lawrence M. Bonanno
Address 4801 W. Peterson Ave, Chicago, Illinois
Phone Number 7736859666
Fax Number 7736851967
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1992969489
Provider Enumeration Date 2008-07-14
Last Updated Date 2009-10-14

Provider Mailing Address Detail

Address 4801 W. Peterson Ave
City Chicago
State Illinois (IL)
Post Code 60646
Phone Number 7736859666
Fax Number 7736851967

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No IL19A16050
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Lawrence M. Bonanno

What is the unique identifier code issued to Lawrence M. Bonanno by the Centers for Medicare & Medicaid Services (CMS)?

The Lawrence M. Bonanno has been assigned the NPI (National Provider Identifier) 1992969489. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Lawrence M. Bonanno is physically located?

The Lawrence M. Bonanno is physically situated at the following address: 4801 W. Peterson Ave, Chicago, IL, 60646.

What is Lawrence M. Bonanno's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lawrence M. Bonanno is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1992969489 to Lawrence M. Bonanno?

The Centers for Medicare & Medicaid Services assigned the 1992969489 to Lawrence M. Bonanno on 2008-07-14.

As of what date were the details related to Lawrence M. Bonanno most recently updated or revised?

The information pertaining to Lawrence M. Bonanno, including its address, specialty, and other relevant details, was last updated or revised on 2009-10-14.

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