Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL JOHN BORAK
ActiveAmbulatory Care Pharmacist · DEKALB, IL
Registration Details
- NPI Number
- 1154807808
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2018 (7.7664197274658 yrs)
- Last Updated
- Jul 16, 2018
- License
-
051034277 (IL)
Practice Information
- Address
-
975 S ANNIE GLIDDEN ROADSCHNUCKS MARKET INCDEKALB, IL, 60115Browse IL providers · Browse ZIP 60115
- Phone
- 8157486202
- Fax
- 8157486202
- Primary Specialty
-
Ambulatory Care Pharmacist
1835P2201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.