Organization
MARIA BORZECKA, DDS, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA BORZECKA DDS (PRESIDENT)
(773) 501-7907
Entity
Organization
Contact information
Practice address
1029 HOWARD ST, EVANSTON, IL 60202-3877
(847) 491-0660
(847) 869-5858
Mailing address
6010 W HENDERSON ST, CHICAGO, IL 60634-4230
(773) 501-7907
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
019028031
IL
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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