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BOBBY BUONAURO CLINIC NPI 1518485960


NPI Information

NPI: 1518485960
Provider Name: BOBBY BUONAURO CLINIC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1029 HOWARD ST STE 303
EVANSTON, IL
ZIP 60202
Phone: (847) 869-1808
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BOBBY BUONAURO CLINIC is a rehabilitation and substance use disorder clinic center in Evanston, IL. BOBBY BUONAURO CLINIC NPI is 1518485960. The provider is registered as an organization entity type.

The provider's business location address is:

1029 HOWARD ST STE 303
EVANSTON, IL
ZIP 60202-877
Phone: (847) 869-1808
Fax: (847) 869-1950

The provider's authorized official is Elizabeth Buonauro .
The authorized official title is Executive Director/owner and has the following contact phone number (847) 869-1808.

The enumeration date for this NPI number is 9/6/2017 and was last updated on 8/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2800XClinic/CenterMethadoneNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderA-8746-0001-AILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.