Dr BOGUSLAW S BONCZAK is a male medical professional, specializing in Family Medicine. He graduated in 1987.
CENTEGRA PRIMARY CARE LLC
650 DAKOTA ST
CRYSTAL LAKE
IL
600123744
Tel: 8154556000
| Npi | 1881893303 |
| Pac Id | 7618166125 |
| Professional Enrollment Id | I20110114000458 |
| Last Name | BONCZAK |
| First Name | BOGUSLAW |
| Middle Name | S |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | OBSTETRICS/GYNECOLOGY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Organization Legal Name | CENTEGRA PRIMARY CARE LLC |
| Group Practice Pac Id | 0446157630 |
| Number Of Group Practice Members | 136 |
| Line 1 Street Address | 650 DAKOTA ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 600123744 |
| Phone Number | 8154556000 |
| Hospital Affiliation Ccn 1 | 140116 |
| Hospital Affiliation Lbn 1 | CENTEGRA HOSPITAL-MCHENRY |
| Hospital Affiliation Ccn 2 | 140242 |
| Hospital Affiliation Lbn 2 | CENTRAL DUPAGE HOSPITAL |
| Hospital Affiliation Ccn 3 | 140030 |
| Hospital Affiliation Lbn 3 | ADVOCATE SHERMAN HOSPITAL |
| 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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