Individual
DR. MYRON PHILIP BORNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 DAVIS ST UNIT 519, EVANSTON, IL 60201-4790
(847) 433-2290
Mailing address
425 DAVIS ST UNIT 519, EVANSTON, IL 60201-4790
(847) 433-2290
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036038938
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
362801505
FEIN
IL
Enumeration date
03/06/2007
Last updated
10/30/2020
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