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Individual

DR. ANN ELIZABETH BRYANT BORDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., MPH, MSC

Contact information

Practice address
2650 RIDGE AVE, WALGREENS BUILDING, SUITE 1507, EVANSTON, IL 60201-1718
(847) 570-4038
Mailing address
527 SOUTH BLVD, EVANSTON, IL 60202-3022
(847) 570-4038

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
036108814
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
336-069479
CONTROLLED SUBSTANCE
IL
Enumeration date
05/12/2006
Last updated
02/16/2021
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