Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marco Bonilla, MEDICINEDOCTOR

Individual provider Nephrology Physician · NPI 1932636636

Marco Bonilla, MEDICINEDOCTOR is a Nephrology in Chicago, Illinois. Qualified in 2012, 14 years ago. Practices with University of Chicago, a 1,681-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and New York.

Years since qualifying
14
Licensed in
IL, NY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (773) 702-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 036159902 (IL)
Nephrology Physician Taxonomy 207RN0300X · Licence 305527 (NY)

Record details

NPI number1932636636
Entity typeIndividual (Type 1)
GenderMale
Credentials MEDICINEDOCTOR
Sole proprietorNo
NPI enumeratedMay 12, 2017
Last updated in NPPESAugust 5, 2022
Certification dateAugust 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Of Chicago — 1681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Chicago