Lilia Ivette Bonilla FNP

NPI 1023040458 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1023040458
Gender Female
Enumeration Date 07/07/2006
Last Updated 02/28/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
100 W CHICAGO AVE
EAST CHICAGO IN, 46312-3260, US
Phone (219) 398-9685
Fax (219) 398-9695
Business Location
951 TRANSPORT DR
HEALTHLINC, INC.
VALPARAISO IN, 46383-8434, US
Phone (219) 462-7173
Fax (219) 465-9502
Toxanomy
Taxonomy Code 363LF0000X
License State Indiana
License Number 71001263A
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According to our database, Lilia Ivette Bonilla FNP NPI is 1023040458, taxonomy code is 363LF0000X and license number is 71001263A, license state is located at Indiana. Lilia Ivette Bonilla FNP physically located at 100 W Chicago Ave, East Chicago IN, 46312-3260. NPI Number Lilia Ivette Bonilla FNP has the Individual type.

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1023040458 NPI number is provided on an as is basis without warranty of any kind. 1023040458 is maintained by the National Plan & Provider Enumeration System. The contents of Lilia Ivette Bonilla FNP are for informational purposes only.