Provider Demographics
NPI:1235194408
Name:BERNSTEIN, SIDNEY S (MD)
Entity Type:Individual
Prefix:DR
First Name:SIDNEY
Middle Name:S
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1670 CAPITAL ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60124-7837
Mailing Address - Country:US
Mailing Address - Phone:847-888-2020
Mailing Address - Fax:847-888-0652
Practice Address - Street 1:1670 CAPITAL ST
Practice Address - Street 2:SUITE 100
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60124-7837
Practice Address - Country:US
Practice Address - Phone:847-888-2020
Practice Address - Fax:847-888-0652
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-040408207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC37536Medicare UPIN