Individual provider · Type 1 NPI

Brian Bonamarte

Specialist · Highland Park, IL

NPI number 1790164853 Active

Practice location

1510 Old Deerfield Rd, Suite 221
Highland Park, IL 60035-3068

Fax (847) 926-7211

Mailing address

1510 Old Deerfield Rd., Suite 221
Highland Park, IL 60035

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1790164853

Brian Bonamarte's National Provider Identifier is 1790164853, issued on May 22, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Highland Park, IL. The record was last updated on May 22, 2015.