Michael G Bonifacio, PMHNP-BC is a psychiatric/mental health nurse practitioner in Chicago, IL. Michael G Bonifacio, PMHNP-BC NPI is 1275310146. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2918 W LOGAN BLVD
CHICAGO, IL
ZIP 60647-732
Phone: (773) 817-2577
The NPI 1275310146 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/13/2023 and was last updated on 9/13/2023.