Individual
DR. JESSICA LANE BOROWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2601 COMPASS RD, STE 125, GLENVIEW, IL 60026-8077
(847) 843-3376
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.128711
IL
207N00000X
Dermatology Physician
20A 11725
CA
207N00000X
Dermatology Physician
OS10469
FL
Other
Enumeration date
09/03/2008
Last updated
12/08/2021
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