Jose A. Bonilla, MD, MBA
Anesthesiology in Oak Lawn, IL. Individual provider (NPI-1).
NPI number1972131464
StatusActive
Last updated in NPPESSep 24, 2025
Details
- NPI
- 1972131464
- Entity type
- Individual (NPI-1)
- Name
- Jose A. Bonilla
- Credential
- MD, MBA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2020
- Certification date
- Sep 24, 2025
- Last updated
- Sep 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ANESTHESIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 036176016 | IL | Yes |
| 207L00000X | Anesthesiology | 13867759-1205 | UT |
Practice location
4440 W 95th StOak Lawn, IL 60453-2600
Phone 708-684-8000
Mailing address
29373 Network PlChicago, IL 60673-1293
Phone 847-390-5900
Other practice locations
Helix: 30 N Mario Capecchi Dr Rm 5n141
Salt Lake City, UT 84112
Salt Lake City, UT 84112
Phone 801-581-2121
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All 43 Anesthesiology Physician providers in Oak Lawn · All 3,523 providers in Oak Lawn
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