Bongiovanni, Frank
Bongiovanni, Frank is an individual health care provider with primary practice located at 1660 Feehanville Dr Ste 100 , Mount Prospect IL 60056-6019. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Bongiovanni, Frank can be contacted via phone (847) 390-7666.Contact Information
Primary practice address
1660 Feehanville Dr Ste 100
Mount Prospect IL 60056-6019
Phone: (847) 390-7666
Fax: (847) 390-9345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 016005164 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016-005164 | Illinois |
Profile Details
| NPI number | 1821096439 |
|---|---|
| LBN Legal business name | Bongiovanni, Frank |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jan 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821096439 | NPPES |
| Illinois | MEDICAID | 016005164 | |
| Illinois | Other | 60000380 |
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