Provider Demographics
NPI:1851814099
Name:BONDAR INC
Entity Type:Organization
Organization Name:BONDAR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BONDAR
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:224-659-2394
Mailing Address - Street 1:PO BOX 43
Mailing Address - Street 2:
Mailing Address - City:PROSPECT HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60070-0043
Mailing Address - Country:US
Mailing Address - Phone:773-682-1870
Mailing Address - Fax:847-637-0155
Practice Address - Street 1:104 W KENILWORTH AVE
Practice Address - Street 2:
Practice Address - City:PROSPECT HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60070-1340
Practice Address - Country:US
Practice Address - Phone:224-659-2394
Practice Address - Fax:847-637-0155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-19
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL238000071246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty