Individual
ELYSE J BOROSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 PARK AVE E STE 201, PRINCETON, IL 61356-2598
(815) 876-4447
Mailing address
530 PARK AVE E STE 201, PRINCETON, IL 61356-2598
(815) 876-4447
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007562
IL
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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