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Contact Information

PAUL H BONUCCI, MD
2128 N MAIN ST
PRINCETON, IL61356-9728
 Phone: 815-875-2273
 Fax: 815-207-8682
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for PAUL H BONUCCI · (Male)

NPI # 1922114677
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2006
Last updated 06/09/2025 - About 12 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036100221
  • IL Medicaid 036100221
  • SC Medicaid G48980
Hospital affiliation(s)
  • ILLINOIS VALLEY COMMUNITY HOSPITAL - (Acute Care)
    925 WEST ST
    PERU, IL 61354
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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