Shari L. Bornstein MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036082237 Issued in IL

Legal business name

SHARI L. BORNSTEIN MD

Practice address

501 N. Riverside Dr
#106
Gurnee, IL 60031-2701

Phone

(847) 662-4300

Fax

(847) 662-2008

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shari L Bornstein, MD

Title

Physician Owner

Phone

(847) 662-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracie Lynn Cook, NPC

  • Family Nurse Practitioner
  • Downers Grove, IL
  • NPI 1679633853
  NPD (past)
• Norman K. Weinstein, M.D.

  • Interventional Cardiology Physician
  • Garden City, KS
  • NPI 1992754360

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1447305644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N. RIVERSIDE DR",
            "address_2": "SUITE 106",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312701",
            "telephone_number": "847-662-4300",
            "fax_number": "847-662-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N. RIVERSIDE DR",
            "address_2": "#106",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312701",
            "telephone_number": "847-662-4300",
            "fax_number": "847-662-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARI L. BORNSTEIN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "BORNSTEIN",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "847-662-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036082237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4932064",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parthiv Shah, M.D.
• Vibhakar Shantilal Shah, M.D.
• Shaku Chhabria Neurological Services SC
• Rita Shamon, NP
• Julie Shapiro, MD
• K. Shaver
• Shawnalee Rochelle Shaw, FNP-C
• Holly Marie Sheahan, LCSW
• Alla Shegelsky
• Richard Sherbahn, MD

• Internal Medicine Physician in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.