Bernsen, Mitchell

Bernsen, Mitchell is an individual health care provider with primary practice located at 1415 S Arlington Heights Rd , Arlington Heights IL 60005-3765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bernsen, Mitchell can be contacted via phone (847) 439-1005.

Contact Information

Primary practice address
1415 S Arlington Heights Rd Arlington Heights IL 60005-3765
Phone: (847) 439-1005
Fax: (847) 439-7555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036-084785 Illinois

Profile Details

NPI number 1275523631
LBN Legal business name Bernsen, Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Feb 19th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275523631 NPPES
Illinois MEDICAID 036-084785

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