Active NPI
Samuel Crawford Bonow, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1710866454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.029431
- Practice address
- 7447 N Clark St Ste B107
Chicago, IL 60626-1619 - Phone
- (224) 273-6590
- NPI assigned
- Aug 28, 2025
- Last updated
- Sep 10, 2025
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.029431 | IL | Primary |
Addresses
Primary practice location
7447 N Clark St Ste B107
Chicago, IL 60626-1619
Mailing address
7447 N Clark St Ste B107
Chicago, IL 60626-1619
Phone (224) 273-6590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.029431 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presence Chicago Hospitals Network | Past | Accepting new patients | |
| Saint Francis Hospital - Evanston LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Presence St. Joseph Hospital-Chicago
- Psychiatric Hospital Unit
- Chicago, IL
- NPI 1194404251
-
dba Prime Healthcare Rx 1002
- Community/Retail Pharmacy
- Evanston, IL
- NPI 1467494054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1710866454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7447 N CLARK ST STE B107",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606261619",
"telephone_number": "224-273-6590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7447 N CLARK ST STE B107",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606261619",
"telephone_number": "224-273-6590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONOW",
"first_name": "SAMUEL",
"middle_name": "CRAWFORD",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-28",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.029431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.