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Deactivated NPI 1982149928 Deactivated / Inactive NPI Female Practitioner

Bobbie Jean Bonner , LICENSED PRACTICAL N

Licensed Practical Nurse • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bobbie Bonner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 29, 2016
NPI Deactivation Date October 22, 2018
Total Practice Duration ~2 Years of Practice (2016 – 2018)

Professional Overview & Biography Verified Profile Summary

Bobbie Bonner, LICENSED PRACTICAL N was a registered Licensed Practical Nurse practicing in Chicago, IL. Throughout an active medical career spanning 2 years, Bobbie Bonner provided care at the practice location at 7600 S. PULASKI ROAD until profile deactivation on 2018-10-22.

Practice Location & Contact Primary Location

Practice Address

7600 S. Pulaski Road
Department Of Rehab Services (D.o.r.s.)

Chicago, IL 60652

Telephone 7738385745
Associated Practice Facility / Clinic
🏢 Audrey Forrest Facility NPI 1386185676

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
82 Specialists

Practicing in Chicago, IL (906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 043-026000

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Audrey Forrest

Registered Nurse

NPI 1821539123

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 22, 2018

Record deactivated on October 22, 2018

NPI Profile Active January 03, 2017

NPI status registered as active in NPPES database

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Updated Practice Location January 03, 2017

Registered at 7600 S. PULASKI ROAD, DEPARTMENT OF REHAB SERVICES (D.O.R.S.), CHICAGO, IL 60652 (Tel: 7738385745)

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Updated Business Mailing Address January 03, 2017

Registered at 8800 S. HARLEM AVENUE, LOT # 2006, BRIDGEVIEW, IL 60455 (Tel: 6302486738)

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Provider Name / Credentials Updated January 03, 2017

Recorded as BOBBIE BONNER, LICENSED PRACTICAL N

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2017

Licensed Practical Nurse (License #043-026000 in IL)

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Initial NPI Registration & Enumeration December 29, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982149928
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2016
Last Update: January 03, 2017
Deactivation Date: October 22, 2018

Mailing Address

8800 S. Harlem Avenue, Lot # 2006

Bridgeview, IL 60455

Phone: 6302486738

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.