EMILY CLAIRE BONANNO


Address: 1397 N Miwaukee Ave, Chicago, IL 60622
Phone: 7734696675

EMILY CLAIRE BONANNO (NPI# 1720620545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720620545
Entity Type Individual
Full Name EMILY CLAIRE BONANNO
Credential LPC
Practice Address 1397 N Miwaukee Ave
Chicago
IL 60622
Mailing Address 1935 N. Sawyer Apt 3n
Chicago
IL 60647
Practice Telephone 7734696675
Mailing Telephone 7738654665
Enumeration Date 2019-10-14
Last Update Date 2019-10-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
178.015255 IL Behavioral Health & Social Service Providers

Office Location

Street Address 1397 N MIWAUKEE AVE
City CHICAGO
State IL
Zip Code 60622

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1073076105 Nichole Galullo Social Worker 1431 N Claremont 2nd Floor, Chicago, IL 60622 2019-04-06
1003375122 Alfredo Delgado Perez Sr. Psychologist 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 2019-03-18
1841773439 Abigail Hector Counselor 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 2018-09-11
1164916144 Dorothy Mitkowski Student in an Organized Health Care Education/Training Program 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 2018-06-21
1255825121 Kara Lynn Daniel Speech-Language Pathologist 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 2018-06-14
1699264622 Samiraly Moosa Student in an Organized Health Care Education/Training Program 1044 N. Francisco Avenue Attn. Gme Office, Chicago, IL 60622 2018-05-04
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1508463704 Tynisha Jointer Counselor 7710 S Saint Lawrence Ave, Chicago, IL 60619-2925 2020-10-01
1851908206 Manqual Chambers Counselor 2801 S King Dr, Chicago, IL 60616-2949 2020-09-29
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1952916322 Elle Skelton Counselor 2219 N Seeley Ave Apt 3f, Chicago, IL 60647-3363 2020-09-13
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Competitor

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City CHICAGO
Zip Code 60622

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Dataset Information

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.

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