ROBERT M BONAMINIO (NPI# 1427001486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427001486 |
| Entity Type | Individual |
| Full Name | ROBERT M BONAMINIO |
| Credential | D.O. |
| Practice Address |
2850 W. 95th St Suite 103 Evergreen Park IL 60805-2735 |
| Practice Telephone | 7086369205 |
| Practice Fax Number | 7082296075 |
| Mailing Telephone | 7086369205 |
| Mailing Fax Number | 7082296075 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036094083 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036094083 | 05 |
| Street Address |
2850 W. 95TH ST SUITE 103 |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184619900 | Monica L Lorimer | Surgery | 2850 W. 95th St, Suite 306, Evergreen Park, IL 60805 | 2005-09-19 |
| 1215036330 | Sujal Desai | Internal Medicine | 2850 W. 95th St, Suite 406, Evergreen Park, IL 60805 | 2006-09-22 |
| 1144267253 | Michael M Stachowski | Internal Medicine | 2850 W. 95th St, Suite 210, Evergreen Park, IL 60805 | 2006-05-31 |
| 1881647576 | Melissa M Chappell | Psychiatry & Neurology | 2850 W. 95th St, Suite 204, Evergreen Park, IL 60805 | 2006-05-17 |
| 1841279981 | Juan Edgar Lerma | Internal Medicine | 2850 W. 95th St, Mary Potter Bldg St. 11, Evergreen Park, IL 60805-2727 | 2006-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982085247 | Timothy Brian Johnson | Obstetrics & Gynecology | 9730 S Western Ave Ste 100, Evergreen Park, IL 60805-2853 | 2015-06-12 |
| 1093151573 | Puja Sheth Gogawale | Obstetrics & Gynecology | 2850 W 95th St Ste 203, Evergreen Park, IL 60805-2734 | 2013-05-10 |
| 1780637827 | Monica M Christmas | Obstetrics & Gynecology | 2800 W. 95th St, 3rd Floor Tower, Evergreen Park, IL 60805 | 2006-05-18 |
| 1174515035 | Anita Iyer | Obstetrics & Gynecology | 9730 S Western Ave, Ste 100, Evergreen Park, IL 60805-2814 | 2005-08-17 |
| 1306156500 | Jessica L Bender | Obstetrics & Gynecology | 2850 W 95th St, Suite 103, Evergreen Park, IL 60805-2735 | 2010-10-21 |
| 1467608513 | Pooja Jain Doshi | Obstetrics & Gynecology | 2850 W 95th St, Suite 203, Evergreen Park, IL 60805-2735 | 2008-08-08 |
| 1376669770 | Little Company of Mary Hospital Inc | Obstetrics & Gynecology | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2007-03-21 |
| 1669508446 | Pablo Antonio Garzon | Obstetrics & Gynecology | 2850 W 95th St, Suite 203, Evergreen Park, IL 60805 | 2007-02-26 |
| 1124108832 | Wilfredo Rendon | Obstetrics & Gynecology | 9730 S Western Ave, Suite 428, Evergreen Park, IL 60452 | 2006-10-17 |
| 1487745915 | Emuata Ufok Bassey | Obstetrics & Gynecology | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2006-09-28 |
| Find all providers in EVERGREEN PARK | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.