Individual
VICTORIA JOANNA BORRELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
(773) 622-5400
Mailing address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010062
IL
Other
Enumeration date
09/12/2022
Last updated
10/23/2023
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