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Organization
SHARI L. BORNSTEIN MD
Active
Organization
SHARI L. BORNSTEIN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARI L BORNSTEIN MD (PHYSICIAN OWNER)
(847) 662-4300
Entity
Organization
Contact information
Practice address
501 N. RIVERSIDE DR, #106, GURNEE, IL 60031-2701
(847) 662-4300
(847) 662-2008
Mailing address
501 N. RIVERSIDE DR, SUITE 106, GURNEE, IL 60031-2701
(847) 662-4300
(847) 662-2008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036082237
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932064
BLUE CROSS
IL
Enumeration date
01/25/2007
Last updated
09/23/2011
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