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Dr. George W Borrelli

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NPI Number Detailed Information

Provider Information:

Name: Dr. George W Borrelli
Gender: M
Provider License Number If Given:

NPI Information:

NPI: 1588663090
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 11/16/2007

Provider Business Mailing Address:

Address: 9944 S ROBERTS RD SUITE 204
Palos Hills, IL 60465
Phone Number: 7082338709
Fax Number:

Provider Business Practice Location Address:

Address: 12251 S 80TH AVE
Palos Heights, IL 60463
Phone Number: 7089235800
Fax Number: 7089238324

Provider Taxonomy:

Primary: 207P00000X
Secondary (if any):
State: IL

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