Jessica Bomberg Litman
Individual provider Active NPI Specialist · Glenview, IL
NPI 1871936088 · NPPES record last updated Apr 8, 2013
Key facts
- NPI
- 1871936088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 2445490 (IL)
- Practice address
- 1048 Terrace LN
Glenview, IL 60025-2755 - Phone
- (763) 370-3931
- NPI assigned
- Apr 8, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2445490 | IL | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2445490 | IL | Yes |
Addresses
Primary practice location
1048 Terrace LN
Glenview, IL 60025-2755
Mailing address
1048 Terrace LN
Glenview, IL 60025-2755
Phone (763) 370-3931
Other names
- Miss Jessica Leah Bomberg
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.