Individual
DR. JEFFREY L. BORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-2297
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-2297
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
IL
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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