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NPI Code Detail

MEDICARE: MICHELLE BONIN

MEDICARE:   MICHELLE  BONIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor178.019270IL

General Provider Information

NPI Number : 1497608269
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE BONIN
Provider Business Mailing Address
First Line : 732 S FINANCIAL PL APT 105
Second Line :
City : CHICAGO
State : IL
Zip : 60605-1035
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1525 E 55TH ST STE 301
Second Line :
City : CHICAGO
State : IL
Zip : 60615-5581
Country : US
Telephone Number : 312-475-0212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/19/2026

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Directions to “ MICHELLE BONIN ” Practice Location

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