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BONAVENTURE MEDICAL FOUNDATION LLC NPI 1336806736


NPI Information

NPI: 1336806736
Provider Name: BONAVENTURE MEDICAL FOUNDATION, LLC

Doing Business As: ALEXIAN BROTHERS MEDICAL GROUP

Classification: Health Educator - 174H00000X
Entity Type: Organization

CLIA Number: 14D0701947

Address:
25 E SCHAUMBURG RD STE 200
SCHAUMBURG, IL
ZIP 60194
Phone: (847) 252-6090
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BONAVENTURE MEDICAL FOUNDATION, LLC is a health educator in Schaumburg, IL. The provider is health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work. BONAVENTURE MEDICAL FOUNDATION, LLC NPI is 1336806736. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Alexian Brothers Medical Group.

The provider's business location address is:

25 E SCHAUMBURG RD STE 200
SCHAUMBURG, IL
ZIP 60194-548
Phone: (847) 252-6090

The provider's authorized official is Reinhold Llerena .
The authorized official title is Medical Director and has the following contact phone number (224) 273-8908.

The CLIA number assigned to this NPI record is 14D0701947 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/19/2021 and was last updated on 12/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133NN1002XNutritionistNutrition, EducationNo
2174H00000XHealth EducatorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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