Christopher Boniquit, M.D.
Individual provider Active NPI Urology Physician · Bolingbrook, IL
NPI 1114152196 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1114152196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 036135833 (IL)
- Practice address
- 396 Remington Blvd
310
Bolingbrook, IL 60440-4302 - Phone
- (630) 226-1436
- NPI assigned
- May 20, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Rush Medical College of Rush University, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Adventist Health Partners, Inc.
Practice addresses (Care Compare)
396 Remington Blvd
Bolingbrook, IL 60440-4311
396 Remington Blvd
Suite 380
Bolingbrook, IL 60440-4302
Phone (224) 273-4000
500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 856-3075
Hospital & facility affiliations
- Uchicago Medicine Adventhealth Bolingbrook
- Uchicago Medicine Adventhealth Hinsdale
- Uchicago Medicine Adventhealth Glenoaks
- Loyola University Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140908000422 | IL | Practitioner - Urology | 9133347016 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036135833 | IL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Partners,Inc | Current |
Accepting new patients | |
| Adventist Health Partners,Inc | Current |
Accepting new patients | |
| Adventist Health Partners, Inc. | Current | Accepting new patients | |
| Adventist Midwest Health | Past | Accepting new patients | |
| Adventist Midwest Health | Past | Accepting new patients | |
| Adventist Health Partners,Inc | Past | Accepting new patients |
Locations
396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301
396 Remington Blvd
Ste 310
Bolingbrook, IL 60440
Phone (630) 226-1436
Interoperability endpoints
- christopher.boniquit.1@380.direct.athenahealth.com
- cboniquit1240892@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 036135833 | IL | Yes |
Addresses
Primary practice location
396 Remington Blvd
310
Bolingbrook, IL 60440-4302
Mailing address
396 Remington Blvd
310
Bolingbrook, IL 60440-4302
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | christopher.boniquit.1@380.direct.athenahealth.com |
Other providers in Bolingbrook, IL
- Bolingbrook Wellness
- Bolingbrook Womens Clinic S C
- Bollingbrook Urgent Care S.C
- Angela Marie Bolokowicz
- Angela Yolanda Bond
- Boughton Family Practice PC
- Megan Elizabeth Bowers
- Jennifer Boyer
- Cecelia Bozeman
- Joshua A Bracken
All providers in Bolingbrook, IL · Urology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.