Most Relevant Information
Provider Data
| NPI Number: | 1003551433 |
| Provider Name: | BONAVENTURE SUIRU DZEKEM MD, MA |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 125.079841 |
Most Important Dates
| Enumeration Date: | 04/29/2022 |
| Last Updated: | 05/13/2022 |
Provider Practice Location
5841 S MARYLAND AVE STE MC7082
CHICAGO
IL
606371465
Practice Location Phone/Fax
| Phone: | 7737026840 |
| Fax: | 7738343950 |
Provider Mailing Location
150 HARVESTER DR STE 300
BURR RIDGE
IL
605275965
Provider Mailing Phone/Fax
| Phone: | 7737021150 |
| Fax: |
Suggested EMR
Internist EMR