Individual provider Active NPI

Ilan D Bornstein, MD

  • Obstetrics & Gynecology Physician
  • Huntley, IL
National Provider Identifier
1083647747
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036148149 Issued in IL
Practice address
10400 Haligus Rd
Huntley, IL 60142-9553
Phone
(815) 356-2323
Fax
(847) 802-7201
NPI assigned
Jul 8, 2006
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036148149 IL Primary

Addresses

Primary practice location

10400 Haligus Rd
Huntley, IL 60142-9553

Mailing address

10400 Haligus Rd
Huntley, IL 60142-9553
Phone (815) 356-2323

Other practice location 1

1 Ingalls Dr
Harvey, IL 60426-3558
Phone (708) 915-5326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151230000285 FL Practitioner - Obstetrics/Gynecology 6103849328 Reassigns benefits to 1 organization
I20190415002242 IL Practitioner - Obstetrics/Gynecology 6103849328 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Harvester Dr
Suite 300
Burr Ridge, IL 60527-5965

2400 N Rockton Ave
Rockford, IL 61103-3655

29624 Network PL
Chicago, IL 60673-1296

400 N Highland Ave
Aurora, IL 60506-3814

777 Lowndes Hill Rd
BLDG 1
Greenville, SC 29607-2131

925 W St
Peru, IL 61354-2751

925 W St
Peru, IL 61354-2757

Dept
Suite 5777
Carol Stream, IL 60122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Jul 23, 2024 Accepting new patients
Rockford Health Physicians CurrentSince Oct 13, 2025 Accepting new patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince Nov 1, 2019 Accepting new patients
Ucm Medical Group Sub, LLC Obstetrics & Gynecology CurrentSince Mar 25, 2024 Accepting new patients
Vna Health Care CurrentSince Jun 26, 2023 Accepting new patients
Vna Health Care CurrentSince Jun 26, 2023 Accepting new patients
Central Dupage Physician Group CurrentSince Jul 23, 2024 Accepting new patients

Locations

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

400 N Highland Ave
Aurora, IL 60506

Dept 5777
Carol Stream, IL 60122

27702 Network Pl
Chicago, IL 60673

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

10400 Haligus Rd
Huntley, IL 60142
Phone (224) 654-0000

2300 N Rockton Ave
Rockford, IL 61103

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Interoperability endpoints

  • Direct secure messaging: ibornstein293546@uchospital.direct-ci.com
  • Direct secure messaging: ilan.bornstein.1@13826.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1083647747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 HALIGUS RD",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429553",
            "telephone_number": "815-356-2323",
            "fax_number": "847-802-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 HALIGUS RD",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429553",
            "telephone_number": "815-356-2323",
            "fax_number": "847-802-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Ingalls Dr",
            "address_purpose": "LOCATION",
            "city": "Harvey",
            "state": "IL",
            "postal_code": "604263558",
            "country_code": "US",
            "telephone_number": "708-915-5326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORNSTEIN",
        "first_name": "ILAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036148149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

Verify at the official NPI Registry.