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Scott M Bornstein, MD
Specialist in Skokie, Illinois
NPI 1609866433

Scott M Bornstein is a Specialist based in Skokie, IL. Scott M Bornstein practices in Skokie, IL and has the professional credentials of MD. The NPI Number for Scott M Bornstein is 1609866433 and holds a License No. 036-093696 (Illinois).

The current practice location address for Scott M Bornstein is 9630 Kenton Ave, Skokie, IL and can be reached out via phone at 847-677-1631 and via fax at 847-677-1406.

Location: 9630 Kenton Ave, Skokie, IL, 60076-1216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609866433
Provider Name
Scott M Bornstein
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9630 Kenton Ave, Skokie, IL, 60076-1216
Phone Number
847-677-1631
Fax Number
847-677-1406
Provider Enumeration Date
10/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
990004123 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
9630 Kenton Ave
City
Skokie
State
Illinois
Zip
60076-1216
Phone Number
847-677-1631
Fax Number
847-677-1406
person
Provider Business Mailing Address Details
Address
9630 Kenton Ave
City
Skokie
State
Illinois
Zip
60076-1216
Phone Number
847-677-1631
Fax Number
847-677-1406
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036-093696 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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