Individual
MR. GUSTAVO DA SILVA BORBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 SOUTH FAIRFIELD AVENUE, SUITE F-908, CHICAGO, IL 60608-1782
(773) 257-5701
(773) 257-6027
Mailing address
1461 SOUTH BLUE ISLAND AVENUE, APT 616, CHICAGO, IL 60608-2293
(773) 257-5701
(773) 257-6027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.083568
IL
Other
Enumeration date
06/03/2024
Last updated
07/16/2024
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