Individual
DR. ERIK BORNCAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1890 SILVER CROSS BLVD, #410, NEW LENOX, IL 60451-9524
(815) 717-8730
(815) 717-8729
Mailing address
1890 SILVER CROSS BLVD, #410, NEW LENOX, IL 60451-9524
(815) 717-8730
(815) 717-8729
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036102506
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361025064
—
IL
01
—
2232860
BC
IL
Enumeration date
02/09/2006
Last updated
01/19/2014
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