| Doctor Name: | MRS. BONNAFE I BATICADOS |
| NPI Number: | 1194193920 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN, RN, WCC |
| License Number: | 041.280969 |
| Business Practice Address: | 3241 Justamere Rd Woodridge, IL - 605173759 |
| Business Phone Number: | 6305448517 |
| Business Fax Number: | |
| Mailing Address: | 3241 Justamere Rd, WOODRIDGE |
| State: | IL |
| Postal Code: | 605173759 |
| Phone Number: | 6305448517 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2015 |
| NPI Last Update Date: | 09/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0000X |
| License Number: | 041.280969 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Wound Care |
| Taxonomy Definition: | |