NPI 1003049412

Maria Borzecka

Practitioner General Practice Dentistry Chicago, IL

Practice location

Address: 3256 N Pulaski Rd, Chicago, IL 60641-4730
Phone: (773) 481-1900
Fax: (773) 481-7003

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 019.028031 (IL)

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Registry record

NPI: 1003049412
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2009
Record last updated: 1 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.