Jessica Bomberg Litman

Primary specialty

SpecialistTaxonomy code 174400000X

License

2445490 Issued in IL

Practice address

1048 Terrace LN
Glenview, IL 60025-2755

Phone

(763) 370-3931

NPI assigned

Apr 8, 2013

Last updated

Apr 8, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jessica Leah Bomberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1871936088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 TERRACE LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252755",
            "telephone_number": "763-370-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 TERRACE LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252755",
            "telephone_number": "763-370-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITMAN",
        "first_name": "JESSICA",
        "middle_name": "BOMBERG",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "2445490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BOMBERG",
            "middle_name": "LEAH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Specialist in Glenview, IL
• Providers in Glenview, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.