Individual
MARY BORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27750 W HIGHWAY 22, SUITE 130, BARRINGTON, IL 60010-2379
(847) 381-6051
(847) 381-6084
Mailing address
27750 W HIGHWAY 22, SUITE 130, BARRINGTON, IL 60010
(847) 381-6051
(847) 381-6084
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000446
IL
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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