Individual provider · Type 1 NPI
Michael G. Bonifacio, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1275310146
Active
Practice location
2918 W Logan Blvd
Chicago, IL 60647-1732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 277005466 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1275310146
Michael G. Bonifacio, PMHNP-BC's National Provider Identifier is 1275310146, issued on Sep 13, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on Apr 20, 2026.