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

Individual provider Psychiatry Physician · NPI 1073673760

Portia Bonebrake, MD is a Psychiatry Physician in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2542 W North Ave
Chicago, IL 60647-5216
Phone: (773) 365-7277
Fax: (773) 365-3091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036-112602 (IL)

Record details

NPI number1073673760
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 11, 2006
Last updated in NPPESOctober 28, 2008
Mailing address2542 W North Ave, Chicago, IL 60647-5216

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