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NPI Code Detail

MEDICARE: PAWEL BORSUK M.D.

MEDICARE: PAWEL BORSUK M.D.
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
1207L00000XAnesthesiology Physician125071256IL
2207L00000XAnesthesiology Physician036-151472IL
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1275064297
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAWEL BORSUK M.D.
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-3328
Country : US
Telephone Number : 847-390-5900
Fax Number : 708-216-1249
Provider Business Practice Location Address
First Line : 3134 N CLARK ST
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4414
Country : US
Telephone Number : 773-766-4949
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2017
Last Update Date : 02/09/2026

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