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Contact Information

MARC BORGE, MD
2160 S FIRST AVE
(17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181)
MAYWOOD, IL60153
 Phone: 630-627-7399
 Fax: 630-627-7079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MARC BORGE · (Male)

NPI # 1255318127
Status Active
Credentials MD
Entity Individual
Enumeration date 12/30/2005
Last updated 05/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036088400
  • IL License # 36088400
  • IL Medicaid 36088400
Hospital affiliation(s)
  • LOYOLA GOTTLIEB MEMORIAL HOSPITAL - (Acute Care)
    701 WEST NORTH AVE
    MELROSE PARK, IL 60160
  • LOYOLA UNIVERSITY MEDICAL CENTER - (Acute Care)
    2160 S 1ST AVENUE
    MAYWOOD, IL 60153
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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