Bonaminio, Robert M

Bonaminio, Robert M is an individual health care provider with primary practice located at 2850 W. 95Th St Suite 103, Evergreen Park IL 60805-2735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bonaminio, Robert M can be contacted via phone (708) 636-9205.

Contact Information

Primary practice address
2850 W. 95Th St Suite 103 Evergreen Park IL 60805-2735
Fax: (708) 229-6075
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036094083 Illinois

Profile Details

NPI number 1427001486
LBN Legal business name Bonaminio, Robert M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jun 18th, 2014 - about 12 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 1427001486 NPPES
Illinois MEDICAID 036094083

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