Dr KEITH A BONACQUISTI is a male medical professional, specializing in Otolaryngology. He graduated in 1985.
OSF MULTI-SPECIALTY GROUP
2 SAINT ANTHONYS WAY
ST ANTHONYS PHYS GRP
ALTON
IL
620024569
Tel: 6184622222
| Npi | 1487773669 |
| Pac Id | 1153339825 |
| Professional Enrollment Id | I20120509000719 |
| Last Name | BONACQUISTI |
| First Name | KEITH |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1985 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | OSF MULTI-SPECIALTY GROUP |
| Group Practice Pac Id | 3678889789 |
| Number Of Group Practice Members | 1213 |
| Line 1 Street Address | 2 SAINT ANTHONYS WAY |
| Line 2 Street Address | ST ANTHONYS PHYS GRP |
| Marker Of Address Line 2 Suppression | |
| City | ALTON |
| State | IL |
| Zip Code | 620024569 |
| Phone Number | 6184622222 |
| Hospital Affiliation Ccn 1 | 140052 |
| Hospital Affiliation Lbn 1 | OSF SAINT ANTHONY'S HEALTH CENTER |
| Hospital Affiliation Ccn 2 | 140289 |
| Hospital Affiliation Lbn 2 | ANDERSON HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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