Jeremy Bonsol,llc

NPI #1013210269 in Chicago, Illinois

Provider Information

NPI Number: 1013210269
Entity Type: Organization
Organization Name: Jeremy Bonsol,llc
Primary Specialty: Clinic/Center
Enumeration Date: Dec 9, 2010
Last Updated: Dec 9, 2010

Practice Location

Address: 3514 N SOUTHPORT AVE
City: Chicago
State: Illinois
ZIP Code: 60657-1436
Phone: (773) 248-2544

Authorized Official

Name: JEREMY BONSOL, DC
Title: DIRECTOR
Phone: (773) 663-5351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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