Individual provider · NPI-1

Samantha Bonzani, FNP-BC

Nurse Practitioner, Family · Mokena, IL

NPI number1982081378
StatusActive
Last updated in NPPESJan 26, 2019

Details

NPI
1982081378
Entity type
Individual (NPI-1)
Name
Samantha Bonzani
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
May 5, 2015
Last updated
Jan 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209.0126ILYes

Practice location

11200 Lincoln Hwy
Mokena, IL 60448

Phone 866-389-2727

Mailing address

11200 Lincoln Hwy
Mokena, IL 60448-8208

Phone 866-389-2727

Other practice locations

11200 Lincoln Hwy
Mokena, IL 60448-8208

Phone 866-389-2727

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