Jerry Mark Bornhoff in Park Ridge - Athletic Trainer
Jerry Mark Bornhoff - NPI 1578552782
Jerry Mark Bornhoff is a Athletic Trainer in Park Ridge, Illinois. Jerry Mark Bornhoff practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Jerry Mark Bornhoff is 1578552782. The last update date is 2007-07-08.
Jerry Mark Bornhoff's current location address is 1111 S Dee Rd, Park Ridge, Illinois. You can contact this provider via phone number 8476928246. The mailing address for Jerry Mark Bornhoff is 1111 S Dee Rd, Park Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerry Mark Bornhoff |
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Address | 1111 S Dee Rd, Park Ridge, Illinois |
Phone Number | 8476928246 |
Fax Number | |
Sole Proprietor | X |
Credentials | ATC, LAT, |
NPI Number Detail
NPI Number | 1578552782 |
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Provider Enumeration Date | 2005-10-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1111 S Dee Rd |
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City | Park Ridge |
State | Illinois (IL) |
Post Code | 600684379 |
Phone Number | 8476928246 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Athletic Trainer |
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Taxonomy | 2255A2300X |
Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identifier code issued to Jerry Mark Bornhoff by the Centers for Medicare & Medicaid Services?
The Jerry Mark Bornhoff has been assigned the NPI (National Provider Identifier) 1578552782 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jerry Mark Bornhoff is physically located?
The Jerry Mark Bornhoff is physically situated at the following address: 1111 S Dee Rd, Park Ridge, IL, 600684379.
What is Jerry Mark Bornhoff's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerry Mark Bornhoff is Athletic Trainer, and the taxonomy code that classifies this field of practice is 2255A2300X.
On what date did the Jerry Mark Bornhoff receive the assignment of its 1578552782 from the Centers for Medicare & Medicaid Services?
The Jerry Mark Bornhoff was issued its 1578552782 by the Centers for Medicare & Medicaid Services on 2005-10-19.
When was the information regarding Jerry Mark Bornhoff most recently updated?
The details pertaining to the Jerry Mark Bornhoff, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA