Healthcare Provider Details

I. General information

NPI: 1114119781
Provider Name (Legal Business Name): BONNES AND ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16162 ELLIS AVE
SOUTH HOLLAND IL
60473-1700
US

IV. Provider business mailing address

16162 ELLIS AVE
SOUTH HOLLAND IL
60473-1700
US

V. Phone/Fax

Practice location:
  • Phone: 708-990-6090
  • Fax: 708-636-3772
Mailing address:
  • Phone: 708-990-6090
  • Fax: 708-636-3772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149005064
License Number StateIL

VIII. Authorized Official

Name: DR. KIMBERLY ALDERSON
Title or Position: PRESIDENT
Credential: DSW, LCSW
Phone: 708-990-6090