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Contact Information

BONUM INC
320 S 2ND ST
GRAYVILLE, IL62844-1527
 Phone: 618-375-2171
 Fax: 618-375-7756
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for BONUM INC

NPI Number 1871695288
LBN Legal business name BONUM INC
Authorized official MICHAEL CUNNINGHAM - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
IL License # 0019356
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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