| Doctor Name: | LILIA IVETTE BONILLA |
| NPI Number: | 1023040458 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 71001263A |
| Business Practice Address: | 100 W Chicago Ave East Chicago, IN - 463123260 |
| Business Phone Number: | 2193989685 |
| Business Fax Number: | 2193989695 |
| Mailing Address: | 951 Transport Dr, Healthlinc, Inc. VALPARAISO |
| State: | IN |
| Postal Code: | 463838434 |
| Phone Number: | 2194627173 |
| Fax Number: | 2194659502 |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 02/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71001263A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |