Active NPI
Carmel F Bonnaig, MD
- Emergency Medicine Physician
- Saint Louis, MO
National Provider Identifier
1558331272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Practice address
- 11123 S Towne SQ
Ste. E
Saint Louis, MO 63123-7816 - Phone
- (314) 487-4537
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | IL | Primary |
Addresses
Primary practice location
11123 S Towne SQ
Ste. E
Saint Louis, MO 63123-7816
Mailing address
4251 W Irving Park Rd
Chicago, IL 60641-2938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036075371 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Emergency Physicians Medical Group SC | Emergency Medicine | Current | Accepting new patients |
| U S Health Dept of Health & Human Services | Current | Accepting new patients | |
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| U S Health Dept of Health & Human Services | Current | Accepting new patients | |
| Department of Health & Human Services PHS IHS | Current | Accepting new patients | |
| Eagle Butte Indian Health Service Hospital | Current | Accepting new patients | |
| Quentin N Burdick Comprehensive Health Care Facility | Past | Accepting new patients | |
| Emergency Department Associates, P.C. | Emergency Medicine | Past | Accepting new patients |
| Marion Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medical Specialist, S.C | Emergency Medicine | Past | Accepting new patients |
| New Century Physicians of Southern Illinois Inc | Emergency Medicine | Past | Accepting new patients |
Locations
7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310
350 E Devon Ave
Itasca, IL 60143
425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200
669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100
Interoperability endpoints
- dbonnaig@yourcarecommunity.org
Organizations & group practices 11
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.
-
- Critical Access Hospital
- Cass Lake, MN
- NPI 1194754382
TX
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
TX
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1689212581
-
- Critical Access Hospital
- Lodge Grass, MT
- NPI 1750410395
-
- General Acute Care Hospital
- Browning, MT
- NPI 1861409955
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1659319754
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1265481030
-
- Emergency Medicine Physician
- Marion, IL
- NPI 1679870513
-
- Emergency Medicine Physician
- Marion, IL
- NPI 1922007533
-
- Pharmacist
- Belcourt, ND
- NPI 1245754548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1558331272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4251 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606412938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11123 S TOWNE SQ",
"address_2": "STE. E",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631237816",
"telephone_number": "314-487-4537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNAIG",
"first_name": "CARMEL",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.