| Shari L. Bornstein Md | |
|
501 N. Riverside Dr #106 Gurnee IL 60031-2701 | |
| (847) 662-4300 | |
| (847) 662-2008 |
| Full Name | Shari L. Bornstein Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 N. Riverside Dr, Gurnee, Illinois |
| Authorized Official Name and Position | Shari L Bornstein (PHYSICIAN OWNER) |
| Authorized Official Contact | 8476624300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shari L. Bornstein Md 501 N. Riverside Dr Suite 106 Gurnee IL 60031-2701 Ph: (847) 662-4300 | Shari L. Bornstein Md 501 N. Riverside Dr #106 Gurnee IL 60031-2701 Ph: (847) 662-4300 |
| NPI Number | 1447305644 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 09/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447305644 | NPI | - | NPPES |
| 4932064 | Other | IL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036082237 (Illinois) | Primary |
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Chicago Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S Greenleaf St, Suite A, Gurnee, IL 60031 Phone: 847-596-4521 | |
Gurnee Stone Medical Center P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Grand Ave, Gurnee, IL 60031 Phone: 847-856-7615 | |
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