Individual
AGNIESZKA BORUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
18350 KEDZIE AVE, SUITE 101, HOMEWOOD, IL 60430-2700
(708) 365-1055
(708) 799-1249
Mailing address
1851 SILVER CROSS BLVD, NEW LENOX, IL 60451
(815) 300-3080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.015736
IL
Other
Enumeration date
03/13/2017
Last updated
04/02/2020
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