Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 036109136 | IL |
NPI | 1053353169 |
---|---|
Provider Name | Dr. Monica S. Borkar |
First Address | Glenview, IL 60026-1301 |
Second Address | Glenview, IL 60026-1301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 10/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I50810 | (02) | IL |