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NPI Code Detail

MEDICARE: MAGDALENA BOREK

MEDICARE: MAGDALENA BOREK
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
1225200000XPhysical Therapy Assistant160.006359IL

General Provider Information

NPI Number : 1831517531
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGDALENA BOREK
Provider Business Mailing Address
First Line : 815 E IRVING PARK RD
Second Line :
City : STREAMWOOD
State : IL
Zip : 60107-3073
Country : US
Telephone Number : 630-837-5300
Fax Number :
Provider Business Practice Location Address
First Line : 815 E IRVING PARK RD
Second Line :
City : STREAMWOOD
State : IL
Zip : 60107-3073
Country : US
Telephone Number : 630-837-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2014
Last Update Date : 03/31/2014

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Directions to “ MAGDALENA BOREK ” Practice Location

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