Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 036104463 | IL |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 036-104463 | IL |
NPI | 1194791459 |
---|---|
Provider Name | Dr. Matthew A Bernstein |
First Address | Schaumburg, IL 60195-3203 |
Second Address | Schaumburg, IL 60195-3203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 06/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036-104463 | (05) | IL |
200045186 | MEDICARE RAILROAD (01) | IL |
H66888 | (02) | IL |