Organization · Type 2 NPI

Jeremy Bonsol,llc

Clinic/Center · Chicago, IL

NPI number 1013210269 Active

Practice location

3514 N Southport Ave
Chicago, IL 60657-1436

Call (773) 248-2544 Map

Fax (505) 213-3515

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2 other providers at this address

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About NPI 1013210269

Jeremy Bonsol,llc's National Provider Identifier is 1013210269, issued on Dec 9, 2010. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Chicago, IL. The record was last updated on Dec 9, 2010.