Borncamp, Erik

Borncamp, Erik is an individual health care provider with primary practice located at 1890 Silver Cross Blvd #410, New Lenox IL 60451-9524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Borncamp, Erik can be contacted via phone (815) 717-8730.

Contact Information

Primary practice address
1890 Silver Cross Blvd #410 New Lenox IL 60451-9524
Fax: (815) 717-8729
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036102506 Illinois

Profile Details

NPI number 1689647661
LBN Legal business name Borncamp, Erik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jan 19th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689647661 NPPES
Illinois MEDICAID 0361025064
Illinois Other 2232860

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