Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NINA SIMONE BONNER MS
NPI 1407789613
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since June 05, 2026
3665 N BROADWAY ST, CHICAGO, IL 60613(773) 496-4433 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 2, 2026, Aug 2, 2026, Jun 5, 2026 (3 updates tracked since 2026).

About Nina Simone Bonner Ms NPPES

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

NINA SIMONE BONNER MS (NPI 1407789613) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1407789613
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNINA SIMONE BONNERCredential: MS
Location Address3665 N BROADWAY STChicago, IL 60613-4567
Mailing Address3665 N Broadway StChicago, IL 60613-4567 · (773) 496-4433
Sole ProprietorNo
Enumeration DateJune 5, 2026
Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
NPI 1407789613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 178.033282 (IL)
3665 N BROADWAY ST, Chicago, IL 60613

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.

Counselor (Mental Health)
3665 N BROADWAY ST
CHICAGO, IL 60613
Counselor (Mental Health)
3665 N BROADWAY ST
CHICAGO, IL 60613
Physician Assistant
3665 N BROADWAY ST
CHICAGO, IL 60613
Social Worker (Clinical)
3665 N BROADWAY ST
CHICAGO, IL 60613
Student in an Organized Health Care Education/Training Program
3665 N BROADWAY ST
CHICAGO, IL 60613
Physician Assistant
3665 N BROADWAY ST
CHICAGO, IL 60613
Counselor (Mental Health)
3665 N BROADWAY ST
CHICAGO, IL 60613
Marriage & Family Therapist
3665 N BROADWAY ST
CHICAGO, IL 60613

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 Nina Bonner's NPI number?

The NPI number for Nina Bonner is 1407789613. It was assigned to this individual provider in the NPPES registry on June 5, 2026.

Where is Nina Bonner located?

Nina Bonner practices at 3665 N Broadway St, Chicago, IL 60613. The listed phone number is (773) 496-4433.

What is Nina Bonner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nina Bonner was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.