DR. JERRY P BONET D.P.M. - NPI 1649224288 - Podiatrist in La Grange, IL

Q: What is Jerry Bonet's NPI number?

The NPI number for Jerry Bonet is 1649224288. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Jerry Bonet's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Bonet was last updated on September 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Jerry P Bonet D.p.m. NPPES

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

DR. JERRY P BONET D.P.M. (NPI 1649224288) is an individual foot surgery provider in La Grange, Illinois, licensed in Illinois (016-00316-0) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1649224288

Entity TypeIndividualMale

Primary Taxonomy213ES0131X

Provider Legal NameDR. JERRY P BONETCredential: D.P.M.

Location Address1415 W 47TH STLa Grange, IL 60525-6136

Mailing Address1415 W 47th StLa Grange, IL 60525-6136 · (708) 352-5652 · Fax (708) 352-2105

Phone(708) 352-5652

Fax(708) 352-2105

Sole ProprietorNo

Enumeration DateMay 19, 2006

Last NPPES UpdateSeptember 10, 2012

✔ NPI 1649224288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0131X

License✔ Licensed in IL · 016-00316-0

1415 W 47TH ST, La Grange, IL 60525

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Other Identifiers 2

Medicare UPINT38051IL

Medicare ID-Type UnspecifiedP15961IL

Other Providers at the Same Location NPPES 8

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

DR. ROBERT E RADA DDS

Dentist (General Practice)