Organization
DR. BRITT BORDEN
Active
Organization
DR. BRITT BORDEN
Active
Other names
Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRITT BORDEN MD (MEDICAL DIRECTOR)
(847) 492-1778
Entity
Organization
Contact information
Practice address
906 DAVIS ST, EVANSTON, IL 60201-3608
(847) 492-1778
Mailing address
906 DAVIS ST, EVANSTON, IL 60201-3608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115105
—
IL
Enumeration date
08/08/2019
Last updated
04/20/2020
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