Kornfeld, Benjamin Dylan

Kornfeld, Benjamin Dylan is an individual health care provider with primary practice located at 2530 Ridge Ave , Evanston IL 60201-2492. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Kornfeld, Benjamin Dylan can be contacted via phone (847) 869-0892.

Contact Information

Primary practice address
2530 Ridge Ave Evanston IL 60201-2492
Phone: (847) 869-0892
Fax: (847) 869-1070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036.130951 Illinois

Profile Details

NPI number 1275858466
LBN Legal business name Kornfeld, Benjamin Dylan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2010
Last updated Dec 16th, 2014 - about 11 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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