Individual
SCOTT M BORNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9630 KENTON AVE, SKOKIE, IL 60076-1216
(847) 677-1631
(847) 677-1406
Mailing address
9630 KENTON AVE, SKOKIE, IL 60076-1216
(847) 677-1631
(847) 677-1406
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-093696
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
990004123
RAILROAD MEDICARE
IL
Enumeration date
10/24/2005
Last updated
12/07/2021
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