Kornblatt, Michael

Kornblatt, Michael is an individual health care provider with primary practice located at 9000 Waukegan Rd Suite 200, Morton Grove IL 60053-2111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kornblatt, Michael can be contacted via phone (847) 375-3000.

Contact Information

Primary practice address
9000 Waukegan Rd Suite 200 Morton Grove IL 60053-2111
Phone: (847) 375-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-061542 Illinois

Profile Details

NPI number 1235183351
LBN Legal business name Kornblatt, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Aug 28th, 2012 - about 12 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 1235183351 NPPES
Illinois MEDICAID 036-061542

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