Individual
ZACHARY BORGETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 11TH ST, ROCKFORD, IL 61104-5411
(815) 316-2572
Mailing address
1919 11TH ST, ROCKFORD, IL 61104-5411
(815) 316-2572
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
IL
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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