DR. LAWRENCE M. BONANNO D.D.S.
NPI 1992969489
Dentist - General Practice in Chicago, IL

Q: What is Lawrence Bonanno's NPI number?

The NPI number for Lawrence Bonanno is 1992969489. It was assigned to this individual provider in the NPPES registry on July 14, 2008.

Q: What is Lawrence Bonanno's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Lawrence Bonanno was last updated on October 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since July 14, 2008

4801 W. PETERSON AVE, 316, CHICAGO, IL 60646(773) 685-9666(773) 685-1967 Get Directions Write a Review

NPPES record last updated: October 14, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Lawrence M. Bonanno D.d.s. NPPES

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

DR. LAWRENCE M. BONANNO D.D.S. (NPI 1992969489) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (IL19A16050) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1992969489

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. LAWRENCE M. BONANNOCredential: D.D.S.

Location Address4801 W. PETERSON AVE, 316Chicago, IL 60646

Mailing Address4801 W. Peterson Ave, 316Chicago, IL 60646 · (773) 685-9666 · Fax (773) 685-1967

Phone(773) 685-9666

Fax(773) 685-1967

Sole ProprietorNo

Enumeration DateJuly 14, 2008

Last NPPES UpdateOctober 14, 2009

✔ NPI 1992969489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · IL19A16050

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4801 W. PETERSON AVE, Chicago, IL 60646

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Other Providers at the Same Location NPPES 3

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

JUN S. LIM, DDS, MS, LTD

Dentist (Periodontics)

4801 W. PETERSON AVE, STE #404
CHICAGO, IL 60646

Cook County (773) 794-1299

RICHARD LOUIS VOGEL D.D.S.

Dentist

4801 W. PETERSON AVE, SUITE 504
CHICAGO, IL 60646

Cook County (773) 282-2266

DR. JENNIFER NICOLE DAVIS PSY.D.

Psychologist (Clinical)

4801 W. PETERSON AVE, SUITE 401
CHICAGO, IL 60646

Cook County (773) 282-2322

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 Lawrence Bonanno's NPI number?

The NPI number for Lawrence Bonanno is 1992969489. It was assigned to this individual provider in the NPPES registry on July 14, 2008.

Where is Lawrence Bonanno located?

Lawrence Bonanno practices at 4801 W. Peterson Ave 316, Chicago, IL 60646. The listed phone number is (773) 685-9666.

What is Lawrence Bonanno's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lawrence Bonanno was last updated on October 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.