Provider Demographics
NPI: | 1679684229 |
---|---|
Name: | ORENSTEIN, SABRINA (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | SABRINA |
Middle Name: | |
Last Name: | ORENSTEIN |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 2507 THORNWOOD AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | WILMETTE |
Mailing Address - State: | IL |
Mailing Address - Zip Code: | 60091-1357 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 847-251-5610 |
Mailing Address - Fax: | 847-296-7437 |
Practice Address - Street 1: | 380 E NORTHWEST HWY |
Practice Address - Street 2: | |
Practice Address - City: | DES PLAINES |
Practice Address - State: | IL |
Practice Address - Zip Code: | 60016-2290 |
Practice Address - Country: | US |
Practice Address - Phone: | 847-251-5610 |
Practice Address - Fax: | 847-296-7437 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-08-31 |
Last Update Date: | 2007-11-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
IN | 01057794A | 207P00000X |
IL | 207R00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
No | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
IN | 01057794B | Other | CSR |
IN | 01057794A | Other | IN LICENSE |
IL | 981490 | Medicare PIN | |
E62200 | Medicare UPIN |