Individual
MICHAEL JOHN BORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
975 S ANNIE GLIDDEN ROAD, SCHNUCKS MARKET INC, DEKALB, IL 60115
(815) 748-6202
(815) 748-6202
Mailing address
975 S ANNIE GLIDDEN RD, DEKALB, IL 60115-5838
(615) 748-6202
(815) 748-6203
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
051034277
IL
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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