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NPI Code Detail

MEDICARE: STEPHANIE BORKAN L.AC.

MEDICARE: STEPHANIE BORKAN L.AC.
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
1171100000XAcupuncturist198.001171IL
2171100000XAcupuncturist14450CA

General Provider Information

NPI Number : 1821412859
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE BORKAN L.AC.
Provider Business Mailing Address
First Line : 860 PORT CLINTON CT E
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-6675
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1249 WAUKEGAN RD
Second Line :
City : GLENVIEW
State : IL
Zip : 60025-3077
Country : US
Telephone Number : 847-486-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2014
Last Update Date : 02/11/2014

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Directions to “ STEPHANIE BORKAN L.AC.” Practice Location

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