John Steven Borello in Glen Ellyn - Periodontics
John Steven Borello - NPI 1629149752
John Steven Borello is a Periodontics in Glen Ellyn, Illinois. John Steven Borello practices all healthcare services and medical treatments related to Periodontics. The NPI Number for John Steven Borello is 1629149752. The last update date is 2007-07-08.
John Steven Borello's current location address is 45 S Park Blvd, Glen Ellyn, Illinois. You can contact this provider via phone number 6304696609 and fax number 6309420467. The mailing address for John Steven Borello is 45 S Park Blvd, Glen Ellyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Steven Borello |
|---|---|
| Address | 45 S Park Blvd, Glen Ellyn, Illinois |
| Phone Number | 6304696609 |
| Fax Number | 6309420467 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1629149752 |
|---|---|
| Provider Enumeration Date | 2006-11-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 45 S Park Blvd |
|---|---|
| City | Glen Ellyn |
| State | Illinois (IL) |
| Post Code | 601376280 |
| Phone Number | 6304696609 |
| Fax Number | 6309420467 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identification code assigned to John Steven Borello by the Centers for Medicare & Medicaid Services?
The John Steven Borello has been issued the NPI (National Provider Identifier) 1629149752, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where John Steven Borello is physically located?
The John Steven Borello is situated at the following address: 45 S Park Blvd, Glen Ellyn, IL 601376280.
What is John Steven Borello's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Steven Borello is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629149752 to John Steven Borello?
The John Steven Borello received its 1629149752 assignment from the Centers for Medicare & Medicaid Services on 2006-11-12.
When was the information regarding John Steven Borello most recently updated?
The details pertaining to the John Steven Borello, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1235130048
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