Provider Demographics
NPI:1609812262
Name:BERNSHTEYN, IRENE (DC)
Entity type:Individual
Prefix:
First Name:IRENE
Middle Name:
Last Name:BERNSHTEYN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 BUTTERFIELD RD
Mailing Address - Street 2:SUITE 301N
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1234
Mailing Address - Country:US
Mailing Address - Phone:630-320-6400
Mailing Address - Fax:630-701-1007
Practice Address - Street 1:2300 LEHIGH AVE SUITE 115
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-1691
Practice Address - Country:US
Practice Address - Phone:847-998-1199
Practice Address - Fax:847-998-9617
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-010302111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
212026Medicare PIN
ILVO5953Medicare UPIN
212026Medicare PIN