Individual
DR. KRISTINE KAY BORDENAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, MC 5031, CHICAGO, IL 60637-1447
(773) 702-1000
Mailing address
4272 N MARINE DR, CHICAGO, IL 60613-1710
(312) 520-6657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
95-15
NM
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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