Robert J. Bonk, D.O., LTD.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ROBERT J. BONK, D.O., LTD.

Practice address

3900 West 95TH Street
Evergreen Park, IL 60805

Phone

(708) 499-1512

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Robert Bonk

Title

President

Phone

(708) 499-1512

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1992023600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WEST 95TH STREET",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-499-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. BONK, D.O., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "BONK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-499-1512"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard E Odonnell DO SC
• Mikaela Rico, DO
• Luay Rifai
• Katherine M Riff, MD
• Sam Rizzo, RPH
• Kenrick L Roberts, PHYSICIAN ASSISTANT
• Lin Roberts, M.D.
• Bruce Paul Robinson, LCSW
• Cristobal Robledo, SURGICAL ASSISTANT
• Viviana Rodriguez, LSW

• Clinic/Center in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.