Individual provider · Type 1 NPI
Joseph P. Bonanno, DO
Gynecologic Oncology Physician · Chicago Heights, IL
NPI number
1891094546
Active
Practice location
1010 Dixie Hwy Ste 313
Chicago Heights, IL 60411-2666
Fax (708) 755-2495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecologic Oncology Physician Primary | 207VX0201X | 036060109 (IL) |
Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
About NPI 1891094546
Joseph P. Bonanno, DO's National Provider Identifier is 1891094546, issued on Mar 21, 2011. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Chicago Heights, IL. The record was last updated on Mar 21, 2011.