Search › Illinois › 1835P2201X
Michael Borak
NPI 1154807808 · on the registry since 2018
Practice
- Address
- 975 S Annie Glidden Road
Schnucks Market Inc
Dekalb, IL 60115 - Phone
- (815) 748-6202
- Fax
- (815) 748-6202
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1835P2201X
1835P2201X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois