Bornstein, Scott M

Bornstein, Scott M is an individual health care provider with primary practice located at 9630 Kenton Ave , Skokie IL 60076-1216. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bornstein, Scott M can be contacted via phone (847) 677-1631.

Contact Information

Primary practice address
9630 Kenton Ave Skokie IL 60076-1216
Phone: (847) 677-1631
Fax: (847) 677-1406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036-093696 Illinois

Profile Details

NPI number 1609866433
LBN Legal business name Bornstein, Scott M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Dec 7th, 2021 - about 3 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 1609866433 NPPES
Illinois Other 990004123 RAILROAD MEDICARE

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