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PORTIA BONEBRAKE M.D.
NPI 1073673760
Psychiatry & Neurology - Psychiatry in Chicago, IL

Active since December 11, 2006
2542 W NORTH AVE, CHICAGO, IL 60647(773) 365-7277(773) 365-3091 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Portia Bonebrake M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTIA BONEBRAKE M.D. (NPI 1073673760) is an individual psychiatry provider in Chicago, Illinois, licensed in Illinois (036-112602) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1073673760
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NamePORTIA BONEBRAKECredential: M.D.
Location Address2542 W NORTH AVEChicago, IL 60647-5216
Mailing Address2542 W North AveChicago, IL 60647-5216 · (773) 365-7277 · Fax (773) 365-3091
Phone(773) 365-7277
Fax(773) 365-3091
Sole ProprietorYes
Enumeration DateDecember 11, 2006
Last NPPES UpdateOctober 28, 2008
✔ NPI 1073673760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 036-112602
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2542 W NORTH AVE, Chicago, IL 60647
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Other Identifiers 4

Other036112602Blue Shield
Medicare PINK40152
Other036-112602IL · State License Number
Medicaid036112602IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NADINE STEVOFF
Counselor (Professional)
2542 W NORTH AVE, C/O COMMUNITY COUNSELING CENTERS OF CHICAGO
CHICAGO, IL 60647
Cook County (773) 365-3047
DIANA CASTANEDA LCPC
Counselor (Professional)
2542 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 365-7277
CINDY CHABOLLA LCSW
Social Worker (Clinical)
2542 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 365-7277
MISS REBECCA CLAIRE BOBROW LCSW
Social Worker (Clinical)
2542 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 365-7277
REBECCA MARIE GEBHART LCSW
Counselor
2542 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 365-7277
COMMUNITY COUNSELING CENTERS OF CHICAGO
Community/Behavioral Health
2542 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 365-7277
MAYA JOSEPH-BROOKS
Marriage & Family Therapist
2542 W NORTH AVE
CHICAGO, IL 60647
Cook County (872) 829-3209
RYAN CATANIA LCSW
Social Worker (Clinical)
2542 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 365-7277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portia Bonebrake's NPI number?

The NPI number for Portia Bonebrake is 1073673760. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Portia Bonebrake located?

Portia Bonebrake practices at 2542 W North Ave, Chicago, IL 60647. The listed phone number is (773) 365-7277.

What is Portia Bonebrake's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Portia Bonebrake was last updated on October 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.