| Dr Brian Dominic Bordini, MD | |
| 9977 Woods Dr Ste 300, Skokie, IL 60077-1057 | |
| (847) 663-8508 | |
| Not Available | 
| Full Name | Dr Brian Dominic Bordini | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Endocrinology | 
| Location | 9977 Woods Dr Ste 300, Skokie, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376717900 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0205X | Pediatrics - Pediatric Endocrinology | 036.113918 (Illinois) | Primary | 
| Entity Name | Endeavor Health Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Brian Dominic Bordini, MD 9977 Woods Dr Ste 300, Skokie, IL 60077-1057 Ph: (847) 663-8508 | Dr Brian Dominic Bordini, MD 9977 Woods Dr Ste 300, Skokie, IL 60077-1057 Ph: (847) 663-8508 | 
| Carly Stokar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3722 W Touhy Ave, Suite 101, Skokie, IL 60067 Phone: 312-227-2860 | |
| Dr. Michael Perry Rosenbaum, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9977 Woods Dr, Skokie, IL 60077 Phone: 847-663-8163 Fax: 847-663-1024 | |
| Pauline Ahn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4709 Golf Rd Ste 900, Skokie, IL 60076 Phone: 847-676-5394 Fax: 847-679-7183 | |
| Dr. Katherine L Shepherd, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4709 Golf Rd Ste 900, Skokie, IL 60076 Phone: 847-676-5394 Fax: 847-679-7183 | |
| Angelica Revis, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9977 Woods Dr, Skokie, IL 60077 Phone: 847-663-8163 | |
| Dr. James Joseph Olson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9631 Gross Point Rd, Suite 2, Skokie, IL 60076 Phone: 847-677-7250 Fax: 847-677-7251 | |
| Sun-bum Kim, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9669 Kenton Ave, Ste 403, Skokie, IL 60076 Phone: 847-674-4730 Fax: 847-674-4732 |