Vastola-Lewan, Bonnie J

Vastola-Lewan, Bonnie J is an individual health care provider with primary practice located at 2500 W Fabyan Pkwy , Batavia IL 60510-1572. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vastola-Lewan, Bonnie J can be contacted via phone (630) 879-2110.

Contact Information

Primary practice address
2500 W Fabyan Pkwy Batavia IL 60510-1572
Phone: (630) 879-2110
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125049895 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-123825 Illinois

Profile Details

NPI number 1558529909
LBN Legal business name Vastola-Lewan, Bonnie J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2008
Last updated Nov 18th, 2021 - about 5 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 1558529909 NPPES
Illinois Other 04515143 BCBS #
Illinois MEDICAID 036123825 BCBS #

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