Borge, Marc

Borge, Marc is an individual health care provider with primary practice located at 2160 S First Ave (17W740 22Nd Street, Oakbrook Terrace, Il. 60181), Maywood IL 60153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Borge, Marc can be contacted via phone (630) 627-7399.

Contact Information

Primary practice address
2160 S First Ave (17W740 22Nd Street, Oakbrook Terrace, Il. 60181) Maywood IL 60153
Phone: (630) 627-7399
Fax: (630) 627-7079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036088400 Illinois
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 36088400 Illinois

Profile Details

NPI number 1255318127
LBN Legal business name Borge, Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated May 20th, 2022 - about 2 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 1255318127 NPPES
Illinois MEDICAID 36088400

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