MADELINE BONAGURO MD
NPI 1376123224
Pediatrics in Park Ridge, IL

Q: What is Madeline Bonaguro's NPI number?

The NPI number for Madeline Bonaguro is 1376123224. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Q: What is Madeline Bonaguro's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Madeline Bonaguro was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since April 13, 2021PECOS Enrolled

1775 DEMPSTER ST, PARK RIDGE, IL 60068(847) 723-2210(847) 723-6987 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2025, Apr 8, 2025, Jun 25, 2021 and 2 more (5 updates tracked since 2021).

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About Madeline Bonaguro Md NPPES

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

MADELINE BONAGURO MD (NPI 1376123224) is an individual pediatrics provider in Park Ridge, Illinois, licensed in Illinois (036-170797) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2021).

NPPES Registry Identity

NPI1376123224

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMADELINE BONAGUROCredential: MD

Location Address1775 DEMPSTER STPark Ridge, IL 60068-1143

Mailing Address1775 Dempster StPark Ridge, IL 60068-1143 · (847) 723-2210 · Fax (847) 723-6987

Phone(847) 723-2210

Fax(847) 723-6987

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2021

Enumeration DateApril 13, 2021

Last NPPES UpdateJuly 7, 20255 updates tracked since enumeration

NPPES CertifiedJuly 7, 2025

✔ NPI 1376123224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036-170797

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1775 DEMPSTER ST, Park Ridge, IL 60068

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madeline Bonaguro Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284039009

PECOS Enrollment IDI20250626003540

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. STACEY K ROLINE PA-C

Physician Assistant (Surgical)