JOSEPH P BONANNO (NPI# 1891094546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891094546 |
| Entity Type | Individual |
| Full Name | JOSEPH P BONANNO |
| Credential | D.O. |
| Practice Address |
1010 Dixie Hwy Ste 313 Chicago Heights IL 60411-2666 |
| Practice Telephone | 7087552490 |
| Practice Fax Number | 7087552495 |
| Mailing Telephone | 7087552490 |
| Mailing Fax Number | 7087552495 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
036060109 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750460960 | Joseph Bonanno | Internal Medicine | 3481 E Tremont Ave, Bronx, NY 10465-2016 | 2006-11-06 |
| 1811093057 | Joseph Bonanno | Internal Medicine | 26 Center Cir, Wassaic, NY 12592-2637 | 2006-09-15 |
| 1558339176 | Joseph A Bonanno | Specialist | 320 Santa Fe Dr, Suite 204, Encinitas, CA 92024-5138 | 2006-03-09 |
| 1083619399 | Joseph J. Bonanno | Radiology | 1026 Mar Walt Dr, Fort Walton Beach, FL 32547-6645 | 2005-06-15 |
| 1245234822 | Joseph Bonanno | Pediatrics | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2005-06-10 |
| Street Address |
1010 DIXIE HWY STE 313 |
| City | CHICAGO HEIGHTS |
| State | IL |
| Zip Code | 60411-2666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044236 | Bryant Healthy Living, LLC | Nurse Practitioner | 19404 N. Creek Drive, Lynwood, IL 60411 | 2020-05-12 |
| 1235657263 | Natisha Olaseni | Case Manager/Care Coordinator | 641 W. 63rd Street, Chicago, IL 60411 | 2017-08-30 |
| 1033644497 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 15 E. Independence Drive, Chicago Heights, IL 60411 | 2017-04-24 |
| 1992251771 | Latonya West | Counselor | 1640 215th Pl, Sauk Village, IL 60411 | 2016-08-31 |
| 1063868586 | Oho and Associates | Non-emergency Medical Transport (VAN) | 1010 S. Dixie Hwy, Chicago Heights, IL 60411 | 2016-05-13 |
| 1578945309 | Albert Ellis Jr. | Counselor | 395 West Lincoln Highway, Chicago Heights, IL 60411 | 2015-06-29 |
| 1407238181 | Stephanie Touney | Behavioral Analyst | 450 West 14th Street, Chicago Heights, IL 60411 | 2015-06-18 |
| 1851788582 | Dlw Transporation Corp | Non-emergency Medical Transport (VAN) | 603 Andover, Chicago H.t.s., IL 60411 | 2015-04-21 |
| 1215338983 | Stephanie Anderson-bell | Occupational Therapist | 630 Ranger Dr., Chicago Heights, IL 60411 | 2014-09-11 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| Find all providers in zip 60411 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 |
|---|---|---|---|---|
| 1174910657 | Allison Margaret Saiz | Obstetrics & Gynecology | 250 E Superior St Ste 5-2175, Chicago, IL 60611-2914 | 2015-04-22 |
| 1053677005 | Carrie Allison Mcilwain | Obstetrics & Gynecology | 6700 W 95th St Ste 330, Oak Lawn, IL 60453-2416 | 2012-04-04 |
| 1841457975 | Assaad Youssef Semaan | Obstetrics & Gynecology | 800 Biesterfield Rd Ste 302, Elk Grove Village, IL 60007-3378 | 2008-05-16 |
| 1598975336 | Nikki Lynn Neubauer | Obstetrics & Gynecology | 6700 West 95th Street, Suite 330, Oak Lawn, IL 60453-2199 | 2007-05-23 |
| 1124126040 | Arthur Herbst | Obstetrics & Gynecology | 5841 South Maryland Mc 2050, Chicago, IL 60657 | 2006-09-21 |
| 1922037787 | Michael Patrick Lowe | Obstetrics & Gynecology | 6700 W 95th St, Suite 330, Oak Lawn, IL 60453-2199 | 2006-07-02 |
| 1134197833 | Kennth Alan Hodel | Obstetrics & Gynecology | 6915 N Knoxville Ave, Suite 1, Peoria, IL 61614-2851 | 2006-03-09 |
| 1649242736 | Addie Alkhas | Obstetrics & Gynecology | 1875 Dempster St Ste 210, Park Ridge, IL 60068-1126 | 2006-02-03 |
| 1003806514 | Ronald E Kimball | Obstetrics & Gynecology | 509 W University Ave, Urbana, IL 61801-1645 | 2005-10-26 |
| 1700876307 | Barbara Buttin | Obstetrics & Gynecology | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2005-10-25 |
| Find all providers with the same taxonomy | ||||
| City | CHICAGO HEIGHTS |
| Zip Code | 60411 |
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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.