- Practice location
- 9977 Woods Dr # 100, Skokie, IL 60077-1057
- Phone
- 243-642-2732
- Fax
- —
- Last updated
- August 23, 2023
Riley Mae Bormann is a Physician Assistant based in Skokie, IL. Riley Mae Bormann practices in Skokie, IL and has the professional credentials of PA-C. The NPI Number for Riley Mae Bormann is 1891450565 and holds a License No. 085009920 (IL). The current practice location address for Riley Mae Bormann is 9977 Woods Dr # 100, Skokie, IL 60077-1057 and can be reached out via phone at 243-642-2732.
Provider Profile Details
- NPI Number
- 1891450565
- Provider Name
- Riley Mae Bormann
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 9977 Woods Dr # 100, Skokie, IL 60077-1057
- Phone Number
- 243-642-2732
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- Riley Mae Flake, RILEY MAE FLAKE, PA (Former Name)
- Provider Enumeration Date
- November 7, 2021
- Last Update Date
- August 23, 2023
- Certification Date
- August 23, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9977 Woods Dr # 100
Skokie, IL 60077-1057 - City
- Skokie
- State
- Illinois
- Zip
- 60077-1057
- Phone Number
- 243-642-2732
Provider Business Mailing Address Details
- Address
- 9977 Woods Dr # 100
Skokie, IL 60077-1057 - City
- Skokie
- State
- IL
- Zip
- 60077-1057
- Phone Number
- 243-642-2732
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 085009920
- License State (2)
- IL
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Riley M Bormann, PA-C?
The NPI number of Riley M Bormann, PA-C is 1891450565. It was assigned on November 7, 2021 and is currently active in the NPPES registry.
What is the specialty of Riley M Bormann, PA-C?
Riley M Bormann, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in IL under license number 085009920.
Where does Riley M Bormann, PA-C practice?
The practice location is 9977 Woods Dr # 100, Skokie, IL 60077-1057. The office can be reached at 243-642-2732 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891450565 directly on the NPPES registry website.