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Individual

DR. MARIA BORZECKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3256 N PULASKI RD, CHICAGO, IL 60641-4730
(773) 481-1900
(773) 481-7003
Mailing address
3256 N PULASKI RD, CHICAGO, IL 60641-4730
(773) 481-1900
(773) 481-7003

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.028031
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019.028031
LICENSE NUMBER
IL
Enumeration date
09/01/2009
Last updated
09/01/2009
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