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Contact Information

ROBERT J BORN, DPM
1802 S. MATTIS AVENUE
ORTHOPEDICS
CHAMPAIGN, IL61821
 Phone: 217-383-7676
 Fax: 217-383-4910
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ROBERT J BORN · (Male)

NPI Number 1134170590
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/12/2006
Last updated 11/21/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 016-003180
  • IL Medicaid 016-003180
  • IL Other 0533210001 DMERC
Hospital affiliation(s) Not Available
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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