Individual
DR. ROBERT J BORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1802 S. MATTIS AVENUE, ORTHOPEDICS, CHAMPAIGN, IL 61821
(217) 383-7676
(217) 383-4910
Mailing address
P.O. BOX 6002, URBANA, IL 61803-6002
(217) 326-8300
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-003180
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016-003180
—
IL
01
—
0533210001
DMERC
IL
Enumeration date
05/12/2006
Last updated
11/21/2013
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