MEDICARE: DR. MONICA S. BORKAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	036109136	IL

General Provider Information

NPI Number	:	1053353169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA S. BORKAR MD

Provider Business Mailing Address
First Line	:	2100 PFINGSTEN RD
Second Line	:	SUITE B230
City	:	GLENVIEW
State	:	IL
Zip	:	60026-1301
Country	:	US
Telephone Number	:	847-657-1900
Fax Number	:	847-657-1961

Provider Business Practice Location Address
First Line	:	2100 PFINGSTEN RD
Second Line	:	SUITE B230
City	:	GLENVIEW
State	:	IL
Zip	:	60026-1301
Country	:	US
Telephone Number	:	847-657-1900
Fax Number	:	847-657-1961

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	02/10/2021

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