DR. MIRIAM BORNHORST MD
NPI 1639339369
Pediatrics - Pediatric Hematology-Oncology in Chicago, IL

Active since June 16, 2008PECOS Enrolled
225 E CHICAGO AVE # 30, CHICAGO, IL 60611(312) 227-4090 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Miriam Bornhorst Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIRIAM BORNHORST MD (NPI 1639339369) is an individual pediatric hematology-oncology provider in Chicago, Illinois, licensed in Illinois (036.167540) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1639339369
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameDR. MIRIAM BORNHORSTCredential: MD
Location Address225 E CHICAGO AVE # 30Chicago, IL 60611-2991
Mailing Address225 E Chicago Ave # 30Chicago, IL 60611-2991 · (312) 227-4090
Sole ProprietorYes
Enumeration DateJune 16, 2008
Last NPPES UpdateJune 13, 2024
NPPES CertifiedJune 13, 2024
NPI 1639339369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Licenses Licensed in IL · 036.167540 Licensed in DC · MD042360
Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301091925 (MI)
225 E CHICAGO AVE # 30, Chicago, IL 60611

Secondary Practice Location 1

Location 1111 Michigan Ave NWWashington, DC 20010-2916 · Phone (202) 476-2800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Miriam Bornhorst Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Genetic Counselor, MS
225 E CHICAGO AVE # 30
CHICAGO, IL 60611
Pediatrics
225 E CHICAGO AVE # 30
CHICAGO, IL 60611
Pediatrics (Pediatric Hematology-Oncology)
225 E CHICAGO AVE # 30
CHICAGO, IL 60611
Pediatrics (Pediatric Hematology-Oncology)
225 E CHICAGO AVE # 30
CHICAGO, IL 60611
Pediatrics (Pediatric Hematology-Oncology)
225 E CHICAGO AVE # 30
CHICAGO, IL 60611
Pediatrics (Pediatric Hematology-Oncology)
225 E CHICAGO AVE # 30
CHICAGO, IL 60611
Nurse Practitioner (Pediatrics)
225 E CHICAGO AVE # 30
CHICAGO, IL 60611
Pediatrics (Pediatric Hematology-Oncology)
225 E CHICAGO AVE # 30
CHICAGO, IL 60611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639339369, enumerated as an "individual" on June 16, 2008.

The provider is located at 225 E CHICAGO AVE # 30 CHICAGO, IL 60611 and the phone number is (312) 227-4090.

Pediatrics with taxonomy code 2080P0207X and a focus in Pediatric Hematology-Oncology.