Bernstein, Jerry

Bernstein, Jerry is an individual health care provider with primary practice located at 6131 Dempster St , Morton Grove IL 60053-2953. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bernstein, Jerry can be contacted via phone (847) 967-5010.

Contact Information

Primary practice address
6131 Dempster St Morton Grove IL 60053-2953
Fax: (847) 967-5147
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036045804 Illinois

Profile Details

NPI number 1770581092
LBN Legal business name Bernstein, Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Feb 4th, 2010 - about 14 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 1770581092 NPPES
Illinois Other 01632926 BLUE CROSS BLUE SHIELD

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