Individual
DR. MIRIAM BORNHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE # 30, CHICAGO, IL 60611-2991
(312) 227-4090
Mailing address
225 E CHICAGO AVE # 30, CHICAGO, IL 60611-2991
(312) 227-4090
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
036.167540
IL
2080P0207X
Pediatric Hematology & Oncology Physician
MD042360
DC
390200000X
Student in an Organized Health Care Education/Training Program
4301091925
MI
Other
Enumeration date
06/16/2008
Last updated
06/13/2024
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