Healthcare Provider Details

I. General information

NPI: 1497871792
Provider Name (Legal Business Name): CYNTHIA ANN BRINCAT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9650 GROSS POINT RD STE 3900
SKOKIE IL
60076-5085
US

IV. Provider business mailing address

4901 SEARLE PKWY
SKOKIE IL
60077-5313
US

V. Phone/Fax

Practice location:
  • Phone: 847-982-6710
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number55762
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4301083779
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License Number036132584
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: