Bobby Buonauro Clinic

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

A-8746-0001-A Issued in IL

Legal business name

BOBBY BUONAURO CLINIC

Practice address

1029 Howard St Ste 303
Evanston, IL 60202-3877

Phone

(847) 869-1808

Fax

(847) 869-1950

NPI assigned

Sep 6, 2017

Last updated

Aug 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth BuonauroNPI 1568180768

Title

Executive Director/Owner

Phone

(847) 869-1808

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Buonauro

  • Methadone Clinic
  • Evanston, IL
  • NPI 1568180768
  NPD Authorized official
• Lillian Brown, LPN

  • Licensed Practical Nurse
  • Evanston, IL
  • NPI 1689392896
  NPD

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1518485960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 HOWARD ST STE 303",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023877",
            "telephone_number": "847-869-1808",
            "fax_number": "847-869-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 HOWARD ST STE 303",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023877",
            "telephone_number": "847-869-1808",
            "fax_number": "847-869-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY BUONAURO CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "BUONAURO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "847-869-1808"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-8746-0001-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Lotus Neuropsychology, PLLC
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• Edward A Blumen, M.D.
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• Kathryn Boatright
• Bobis Denterprises, Inc. (Assisting Hands - Evanston)
• Maria Cecilia Bocanegra, LCPC
• Kristin Anne Bock, RN, CRNA
• Body and Wellness Physical Therapy, LLC
• Lynn Boecler, PHARM.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Evanston, IL
• Providers in Evanston, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.