Individual
DR. KATHERINE BORCHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5007 LINCOLN AVE, SUITE 205, LISLE, IL 60532-4187
(630) 680-5494
(630) 369-5989
Mailing address
1212 S NAPER BLVD, STE. 119, NAPERVILLE, IL 60540-8360
(630) 680-5494
(630) 369-5989
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071-005561
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2222171
BLUE CROSS PROVIDER NO
IL
Enumeration date
03/22/2007
Last updated
07/22/2013
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