Alexander, Bonita S

Alexander, Bonita S is an individual health care provider with primary practice located at 955 Beisner Rd Ste 1509 , Elk Grove Village IL 60007-3475. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Alexander, Bonita S can be contacted via phone (847) 631-5664.

Contact Information

Primary practice address
955 Beisner Rd Ste 1509 Elk Grove Village IL 60007-3475
Phone: (847) 631-5664
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-072596 Illinois

Profile Details

NPI number 1114931870
LBN Legal business name Alexander, Bonita S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Mar 29th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114931870 NPPES
Illinois MEDICAID 036072596
Illinois Other 250012489
Illinois Other 250012490

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