Individual
MARC BORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, (17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181), MAYWOOD, IL 60153
(630) 627-7399
(630) 627-7079
Mailing address
2160 S FIRST AVE, (17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181), MAYWOOD, IL 60153
(630) 627-7399
(630) 627-7079
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036088400
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
36088400
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36088400
—
IL
Enumeration date
12/30/2005
Last updated
05/20/2022
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