Borders, Michel Kim

Borders, Michel Kim is an individual health care provider with primary practice located at 1301 Copperfield Ave Suite 110, Joliet IL 60482-2054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Borders, Michel Kim can be contacted via phone (815) 726-1115.

Contact Information

Primary practice address
1301 Copperfield Ave Suite 110 Joliet IL 60482-2054
Phone: (815) 726-1115
Fax: (815) 726-3005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X Illinois

Profile Details

NPI number 1477663961
LBN Legal business name Borders, Michel Kim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477663961 NPPES
Illinois MEDICAID 09900608

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