1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

ELIZABETH BONILLO DO
NPI 1447044102
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since April 08, 2025PECOS Enrolled
815 MAIN ST STE C, PEORIA, IL 61602(309) 672-4986 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Apr 8, 2025 (2 updates tracked since 2025).

About Elizabeth Bonillo Do NPPES

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

ELIZABETH BONILLO DO (NPI 1447044102) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447044102
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIZABETH BONILLOCredential: DO
Location Address815 MAIN ST STE CPeoria, IL 61602-1080
Mailing Address815 Main St Ste CPeoria, IL 61602-1080
Phone(309) 672-4986
Sole ProprietorYes
Enumeration DateApril 8, 2025
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1447044102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
815 MAIN ST STE C, Peoria, IL 61602
Open in Google Maps ↗

Other Names 1

Former Name (1)Elizabeth Kathrine Bonillo-ruth

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Bonillo Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. THOMAS TSZ HIM CHOW DO
Student in an Organized Health Care Education/Training Program
815 MAIN ST STE C
PEORIA, IL 61602
Peoria County (309) 672-4977
KYLE COTNER MD
Student in an Organized Health Care Education/Training Program
815 MAIN ST STE C
PEORIA, IL 61602
Peoria County (309) 672-4977
DEMI CASTELLANOS
Student in an Organized Health Care Education/Training Program
815 MAIN ST STE C
PEORIA, IL 61602
Peoria County (309) 672-4977
PATRECE ANTOINETTE BARKER D.O., M.S.
Family Medicine
815 MAIN ST STE C
PEORIA, IL 61602
Peoria County (309) 672-4986
PAIGE ELIZABETH BONNER DO
Student in an Organized Health Care Education/Training Program
815 MAIN ST STE C
PEORIA, IL 61602
Peoria County (309) 672-4977
JEFFREY S. LEMAN MD
Family Medicine
815 MAIN ST STE C
PEORIA, IL 61602
Peoria County (309) 672-4977
DR. KRISHNA SASANKA BATHINA MD
Family Medicine
815 MAIN ST STE C
PEORIA, IL 61602
Peoria County (309) 672-4977
RIDA MOHAMMAD GAREEB MD
Family Medicine
815 MAIN ST STE C
PEORIA, IL 61602
Peoria County (309) 672-4986

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 Elizabeth Bonillo's NPI number?

The NPI number for Elizabeth Bonillo is 1447044102. It was assigned to this individual provider in the NPPES registry on April 8, 2025. The provider is also known as Elizabeth Kathrine Bonillo-Ruth.

Where is Elizabeth Bonillo located?

Elizabeth Bonillo practices at 815 Main St Ste C, Peoria, IL 61602. The listed phone number is (309) 672-4986.

What is Elizabeth Bonillo's specialty?

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

Is Elizabeth Bonillo enrolled in Medicare?

Yes. Elizabeth Bonillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Bonillo was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.