Organization
DAVID J BORGHI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY KAY JOHNSON (OFFICE MANAGER)
(815) 988-0389
Entity
Organization
Contact information
Practice address
415 S MULFORD RD, ROCKFORD, IL 61108-3011
(847) 757-3434
(815) 399-5767
Mailing address
415 S MULFORD RD, ROCKFORD, IL 61108-3011
(847) 757-3434
(815) 399-5767
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149019739
IL
Other
Enumeration date
10/06/2017
Last updated
10/10/2017
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