LILIA IVETTE BONILLA FNP NPI 1023040458

NPI Information

NPI: 1023040458
Provider Name: LILIA IVETTE BONILLA, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1313 W CHICAGO AVE
EAST CHICAGO, IN
ZIP 46312
Phone: (219) 398-9685
Get Directions

Lilia Ivette Bonilla, FNP is a family nurse practitioner in East Chicago, IN with 25 years of experience. Lilia Ivette Bonilla, FNP NPI is 1023040458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1313 W CHICAGO AVE
EAST CHICAGO, IN
ZIP 46312-316
Phone: (219) 398-9685
Fax: (219) 398-9695

The NPI 1023040458 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 3/8/2021.

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
1	363LF0000X	Nurse Practitioner	Family	71001263A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200848650	MEDICAID	INDIANA
2	71001263B	OTHER		CSR

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

NPI Synchronization or Removal

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