Stephen Michael Bonzak, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198000523 Issued in IL

Practice address

2800 N Sheridan Rd
Suite 600
Chicago, IL 60657-6156

Phone

(773) 470-6994

NPI assigned

Feb 16, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Traditions, LLC

  • Acupuncturist
  • Chicago, IL
  • NPI 1215428032
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234742400000",
    "number": "1205075264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 W ADDISON ST",
            "address_2": "2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186145",
            "telephone_number": "773-470-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD",
            "address_2": "SUITE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576156",
            "telephone_number": "773-470-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONZAK",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198000523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benedicta Bonsu
• Tiffany Bonter
• Gabriella Bonucci
• Julianne Murphy Bonwit, LCSW, MSW
• Stephanie Bonza, PSY.D.
• Lauren Bonzelaar, MD, MS
• Christian Scott Bonzheim, PA-C
• Roger Boodoo, MD
• Annette C Boogerd
• Alyssa Katlin Book, CCC-SLP

• Acupuncturist in Chicago, IL
• Providers in Chicago, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.