Jerry P Bonet in La Grange - Foot Surgery

Jerry P Bonet - NPI 1649224288

Jerry P Bonet is a Foot Surgery in La Grange, Illinois. Jerry P Bonet practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Jerry P Bonet is 1649224288. The last update date is 2012-09-10.

Jerry P Bonet's current location address is 1415 W 47th St, La Grange, Illinois. You can contact this provider via phone number 7083525652 and fax number 7083522105. The mailing address for Jerry P Bonet is 1415 W 47th St, La Grange, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry P Bonet
Address 1415 W 47th St, La Grange, Illinois
Phone Number 7083525652
Fax Number 7083522105
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1649224288
Provider Enumeration Date 2006-05-19
Last Updated Date 2012-09-10

Provider Mailing Address Detail

Address 1415 W 47th St
City La Grange
State Illinois (IL)
Post Code 605256136
Phone Number 7083525652
Fax Number 7083522105

Provider's Primary Taxonomy Detail

Speciality Foot Surgery
Taxonomy 213Es0131X
Licence No 016-00316-0
Definition:
A doctor of podiatric medicine who specializes in performing foot and ankle surgeries.

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FAQs about Jerry P Bonet

What is the Jerry P Bonet's unique identification number?

The Jerry P Bonet has been assigned the NPI (National Provider Identifier) Number 1649224288 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Jerry P Bonet's physical address?

The Jerry P Bonet is physically located at 1415 W 47Th St, in the city of La Grange, IL, with the postal code 605256136.

What is the area of specialization for Jerry P Bonet, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jerry P Bonet is Foot Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0131X.

On what date did the Jerry P Bonet receive the assignment of its 1649224288 from the Centers for Medicare & Medicaid Services?

The Jerry P Bonet was issued its 1649224288 by the Centers for Medicare & Medicaid Services on 2006-05-19.

When was the Jerry P Bonet's information last updated?

The Jerry P Bonet's information was last updated on 2012-09-10.

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