Jerry P Bonet, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

016-00316-0 Issued in IL

Practice address

1415 W 47TH St
La Grange, IL 60525-6136

Phone

(708) 352-5652

Fax

(708) 352-2105

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1649224288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W 47TH ST",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256136",
            "telephone_number": "708-352-5652",
            "fax_number": "708-352-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W 47TH ST",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256136",
            "telephone_number": "708-352-5652",
            "fax_number": "708-352-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONET",
        "first_name": "JERRY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": "016-00316-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Biel, ED.S, NCSP
• Beau Blakeley, DC
• Debra Babb Blakely, RN, LCPC
• Demetrios Bobolos, LAC
• Samantha Marie Boburka, PA-C
• Tracy Bongiorno, P.A.-C
• Christine O'Connor Bonhomme, M.D.
• Kathryn Marie Bonnstetter
• Amy Botta
• Haley Wynne Brancheau, M.S., CCC-SLP

• Foot Surgery Podiatrist in La Grange, IL
• Providers in La Grange, IL by specialty
• Foot Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.