Jeffrey Troy Bondora, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012821 Issued in IL

Practice address

650 E Algonquin Rd
Suite 108
Schaumburg, IL 60173-3846

Phone

(847) 221-5622

Fax

(847) 221-5688

NPI assigned

Jul 9, 2008

Last updated

Jun 24, 2013By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bza Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Schaumburg, IL
  • NPI 1326307075
  NPD (past)
• Pra Behavioral LLC

  • Mental Health Counselor
  • Schaumburg, IL
  • NPI 1679546873

  Clinical

  NPD (past)

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1649433681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E ALGONQUIN RD",
            "address_2": "SUITE 108",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601733846",
            "telephone_number": "847-221-5622",
            "fax_number": "847-221-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E ALGONQUIN RD",
            "address_2": "SUITE 108",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601733846",
            "telephone_number": "847-221-5622",
            "fax_number": "847-221-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDORA",
        "first_name": "JEFFREY",
        "middle_name": "TROY",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "1633897",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1679546873",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "207844",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy R. Bohland, FNP-BC
• Kelly Bohn
• Alyssa Bolhous
• Lori Ann Bolnick, PSY.D.
• Bonaventure Medical Foundation, LLC (Alexian Brothers Medical Group)
• Thomas C Bonuso, DDS
• Susan L Bork, APRN
• Sylvia Karen Borzym, MA-CFY- SLP
• Amanda Lynn Bose, DC, ND, MS
• Sinisa Boskovic, M.D.

• Clinical Social Worker in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.