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Contact Information

BRIAN K BONISH, MD
615 VALLEY VIEW DR STE 204
MOLINE, IL61265-6180
 Phone: 309-227-6552
 Fax: 309-277-6553
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for BRIAN K BONISH · (Male)

NPI Number 1184885980
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2008
Last updated 09/14/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-120481
  • MN License # 62964
Hospital affiliation(s) Not Available
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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