Neil R. B. Bonje, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Practice address

9933 S Western Ave
Suite 203
Chicago, IL 60643-1810

Phone

(773) 779-3636

Fax

(773) 779-3638

NPI assigned

Nov 30, 2006

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

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447328521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 S WESTERN AVE",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431810",
            "telephone_number": "773-779-3636",
            "fax_number": "773-779-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 S WESTERN AVE",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431810",
            "telephone_number": "773-779-3636",
            "fax_number": "773-779-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONJE",
        "first_name": "NEIL",
        "middle_name": "R. B.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bonilla
• Marco Bonilla, MEDICINE DOCTOR
• Suleima Bonilla, M.A., BCBA
• Michelle Bonin
• Jennifer Lee Bonino Sobol, PH.D., LCPC
• Ellen Bonk, PT
• Rachel Bonkoski
• Jacob Bonnema, CRNA
• Amy O'Connell Bonner, MS CCC-SLP/L
• Christina M Bonner, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.