| Cynthia L Bartholow Md Pc | |
|
1921 Lake Ave Ste B Wilmette IL 60091-1480 | |
| (847) 853-9100 | |
| (847) 853-9103 |
| Full Name | Cynthia L Bartholow Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1921 Lake Ave Ste B, Wilmette, Illinois |
| Authorized Official Name and Position | Cynthia L Bartholow (OWNER) |
| Authorized Official Contact | 8478539100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia L Bartholow Md Pc 1921 Lake Ave Ste B Wilmette IL 60091-1480 Ph: (847) 853-9100 | Cynthia L Bartholow Md Pc 1921 Lake Ave Ste B Wilmette IL 60091-1480 Ph: (847) 853-9100 |
| NPI Number | 1265754154 |
|---|---|
| Provider Enumeration Date | 02/19/2010 |
| Last Update Date | 03/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265754154 | NPI | - | NPPES |
| 1102355559 | Other | IL | MEDICARE RAILROAD PROVIDER PTAN |
| IL5671001 | Other | IL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036 081882 (Illinois) | Primary |
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