| Cary J Bortnick Md Ltd | |
|
303 E Army Trail Rd Suite 100 Bloomingdale IL 60108 | |
| (630) 980-8600 | |
| (630) 980-8650 |
| Full Name | Cary J Bortnick Md Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 303 E Army Trail Rd, Bloomingdale, Illinois |
| Authorized Official Name and Position | Sulema Jimenez (OFFICE MANAGER) |
| Authorized Official Contact | 6309808600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cary J Bortnick Md Ltd 303 E Army Trail Rd Suite 100 Bloomingdale IL 60108 Ph: (630) 980-8600 | Cary J Bortnick Md Ltd 303 E Army Trail Rd Suite 100 Bloomingdale IL 60108 Ph: (630) 980-8600 |
| NPI Number | 1124113980 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7113967886 |
|---|---|
| Medicare Enrollment ID | O20050512000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124113980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Cary J Bortnick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407941255 PECOS PAC ID: 1153361092 Enrollment ID: I20050512000199 |
| Provider Name | Vanja Cuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215022074 PECOS PAC ID: 0648432062 Enrollment ID: I20120501000763 |
| Provider Name | Jessica Claire Drew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053862201 PECOS PAC ID: 3173801826 Enrollment ID: I20161031001842 |
| Provider Name | Soohee Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427549427 PECOS PAC ID: 9830447010 Enrollment ID: I20180803001154 |
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