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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