Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ramon Bonifacio, APN, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1578430773

Ramon Bonifacio, APN, PMHNP-BC is a Nurse Practitioner in Chicago, Illinois. Qualified in 2025, 1 year ago. Practices with Baal Perazim Wellness Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1 N State St Fl 15
Chicago, IL 60602-3206
Phone: (312) 600-3991
Fax: (630) 473-2232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209.033588 (IL)

Record details

NPI number1578430773
Entity typeIndividual (Type 1)
GenderMale
Credentials APN , PMHNP-BC
Sole proprietorYes
NPI enumeratedOctober 21, 2025
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Baal Perazim Wellness Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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