Bornstein, Myron Philip
Bornstein, Myron Philip is an individual health care provider with primary practice located at 425 Davis St Unit 519 , Evanston IL 60201-4790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bornstein, Myron Philip can be contacted via phone (847) 433-2290.Contact Information
Primary practice address
425 Davis St Unit 519
Evanston IL 60201-4790
Phone: (847) 433-2290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036038938 | Illinois |
Profile Details
| NPI number | 1255461463 |
|---|---|
| LBN Legal business name | Bornstein, Myron Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Oct 30th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255461463 | NPPES |
| Illinois | Other | 362801505 | FEIN |
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