| Jose A Bonilla, MD, MBA | |
|
4440 W 95th St, Oak Lawn, IL 60453-2600 | |
| (708) 684-8000 | |
| Not Available |
| Full Name | Jose A Bonilla |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 4440 W 95th St, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972131464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 13867759-1205 (Utah) | Secondary |
| 207L00000X | Anesthesiology | 036176016 (Illinois) | Primary |
| Entity Name | University Of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose A Bonilla, MD, MBA 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Jose A Bonilla, MD, MBA 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 684-8000 |
Ahmed Moyukh Uddin, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Dept Of Anesthesia, Advocate Christ Medical Center, 4440 W 95th St, Oak Lawn, IL 60453 Phone: 612-308-4820 | |
Dr. Elisa Keh-wong, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-8000 | |
Dr. Neerukonda Prasad, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-8000 | |
Muhammad B Rafique, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St Dept Of, Oak Lawn, IL 60453 Phone: 708-684-8000 | |
John J. Ippolito, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-8000 | |
Dr. Imran Akbar, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 630-561-0866 | |
Dr. Omar Raja, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 773-684-5053 |