Most Relevant Information
Provider Data
| NPI Number: | 1003505926 |
| Provider Name: | LAUREL C BONK LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149.024030 |
Most Important Dates
| Enumeration Date: | 05/05/2023 |
| Last Updated: | 05/05/2023 |
Provider Practice Location
1401 BRANDING AVE STE 345
DOWNERS GROVE
IL
605151185
Practice Location Phone/Fax
| Phone: | 3312544464 |
| Fax: |
Provider Mailing Location
15300 WILSHIRE DR
ORLAND PARK
IL
604624677
Provider Mailing Phone/Fax
| Phone: | 6302074890 |
| Fax: |