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Contact Information

JUAN J BONILLA, MD
1325 N HIGHLAND AVE
AURORA, IL60506-1449
 Phone: 630-801-5700
 Fax: 630-801-5704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JUAN J BONILLA · (Male)

NPI Number 1558327015
Status Active
Credentials MD
Entity Individual
Enumeration date 04/25/2006
Last updated 03/17/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036083958
  • IN License # 1049084
  • IL Medicaid 36083958
  • Other 526620 COOK GROUP
  • Other 344390 DUPAGE GROUP
  • Other 202172 URBANA/ROCKFORD/MOLINE
Hospital affiliation(s)
  • ADVOCATE GOOD SAMARITAN HOSPITAL - (Acute Care)
    3815 HIGHLAND AVENUE
    DOWNERS GROVE, IL 60515
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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