Martin J. Borenstein, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036080296 Issued in IL

Practice address

4709 Golf Rd Ste 900
Skokie, IL 60076-1244

Phone

(847) 676-5394

Fax

(847) 679-7183

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1366466658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761244",
            "telephone_number": "847-676-5394",
            "fax_number": "847-679-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761244",
            "telephone_number": "847-676-5394",
            "fax_number": "847-679-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORENSTEIN",
        "first_name": "MARTIN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036080296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036080296",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tfrank@kfpp.pcc-direct.com",
            "affiliation": "N",
            "address_1": "4709 Golf Rd Ste 900",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600761244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer M Bonnke, APN-CNP
• Cherri Booker
• Flora Booker
• Varun G. Bora, MD
• Brian Dominic Bordini, M.D.
• Anne E Borkowski, M.D.
• Riley Mae Bormann, PA-C
• Scott M Bornstein, M.D.
• Stephanie Nicole Boron
• Julie L Bosten, OTR

• All providers in Skokie, IL
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.