Bornhoff, Jerry Mark

Bornhoff, Jerry Mark is an individual health care provider with primary practice located at 1111 S Dee Rd , Park Ridge IL 60068-4379. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bornhoff, Jerry Mark can be contacted via phone (847) 692-8246.

Contact Information

Primary practice address
1111 S Dee Rd Park Ridge IL 60068-4379
Phone: (847) 692-8246
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Illinois

Profile Details

NPI number 1578552782
LBN Legal business name Bornhoff, Jerry Mark
Credentials ATC, LAT, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jul 8th, 2007 - about 18 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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