Christine O'Connor Bonhomme, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

5101 Willow Springs Rd
La Grange, IL 60525-2600

Phone

(708) 245-8975

Fax

(708) 245-5615

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1285851246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 WILLOW BLVD",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801643",
            "telephone_number": "708-839-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WILLOW SPRINGS RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252600",
            "telephone_number": "708-245-8975",
            "fax_number": "708-245-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONHOMME",
        "first_name": "CHRISTINE",
        "middle_name": "O'CONNOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "49212020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME85965",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01054779A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Babb Blakely, RN, LCPC
• Demetrios Bobolos, LAC
• Samantha Marie Boburka, PA-C
• Jerry P Bonet, D.P.M.
• Tracy Bongiorno, P.A.-C
• Kathryn Marie Bonnstetter
• Amy Botta
• Haley Wynne Brancheau, M.S., CCC-SLP
• Kristin Breems, LCSW
• Emily Claire Brennan

• Family Medicine Physician in La Grange, IL
• Providers in La Grange, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.