| Bonnes And Vasquez, P.c. | |
|
13152 S. Cicero Ave Pmb 260 Crestwood IL 60459 | |
| (708) 565-5629 | |
| (708) 636-3772 |
| Full Name | Bonnes And Vasquez, P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13152 S. Cicero Ave, Crestwood, Illinois |
| Authorized Official Name and Position | Karen L. Bonnes (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7089524662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnes And Vasquez, P.c. 13152 S. Cicero Ave Pmb 260 Crestwood IL 60459 Ph: (708) 565-5629 | Bonnes And Vasquez, P.c. 13152 S. Cicero Ave Pmb 260 Crestwood IL 60459 Ph: (708) 565-5629 |
| NPI Number | 1114119781 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 08/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114119781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
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