Organization
BORMES UROLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS BORMES M.D. (PRESIDENT)
(847) 625-6590
Entity
Organization
Contact information
Practice address
900 N WESTMORELAND RD, SUITE 128, LAKE FOREST, IL 60045-1674
(847) 625-6590
(847) 625-6592
Mailing address
900 N WESTMORELAND RD, SUITE 128, LAKE FOREST, IL 60045-1674
(847) 625-6590
(847) 625-6592
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1637650
BCBS
—
05
—
36072689
—
IL
Enumeration date
06/04/2007
Last updated
03/17/2008
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