MICHAEL JOHN BORAK (NPI# 1154807808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154807808 |
| Entity Type | Individual |
| Full Name | MICHAEL JOHN BORAK |
| Practice Address |
975 S Annie Glidden Road Schnucks Market Inc Dekalb IL 60115 |
| Mailing Address |
975 S Annie Glidden Rd Dekalb IL 60115-5838 |
| Practice Telephone | 8157486202 |
| Practice Fax Number | 8157486202 |
| Mailing Telephone | 6157486202 |
| Mailing Fax Number | 8157486203 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
051034277 | IL | Pharmacy Service Providers |
| Street Address |
975 S ANNIE GLIDDEN ROAD SCHNUCKS MARKET INC |
| City | DEKALB |
| State | IL |
| Zip Code | 60115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| 1043767031 | Aarthi Raghavan | Dentist | 2061 Sycamore Road, Dekalb, IL 60115 | 2016-09-07 |
| Find all providers in zip 60115 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291690 | Kristina Ann Falk | Pharmacist | 5758 S Maryland Ave Ste 3c, Chicago, IL 60637-1426 | 2020-09-24 |
| 1639792476 | Katherine Mosio | Pharmacist | 722 W Maxwell St Ste 205, Chicago, IL 60607-5002 | 2020-05-27 |
| 1437643319 | Ellie Luehring | Pharmacist | 1239 Declan Court, Naperville, IL 60563 | 2018-06-14 |
| 1477074599 | Elizabeth Van Dril | Pharmacist | 700 N Larrabee St Apt 310, Chicago, IL 60654-7015 | 2017-06-28 |
| 1720530751 | Charnell Hall | Pharmacist | 1900 W Polk St # 1200, Chicago, IL 60612-3723 | 2016-10-25 |
| 1649729427 | Carlos Varela | Pharmacist | 430 E 50th Place, Chicago, IL 60615 | 2016-09-22 |
| 1336695865 | Michael Short | Pharmacist | Memorial Medical Center Heart Failure Cinic, 340 West Miller, Springfield, IL 62781-0001 | 2016-08-25 |
| 1174969745 | Virginia Jones | Pharmacist | 106 19th Ave Ste 101, Moline, IL 61265-3700 | 2013-05-22 |
| 1720688856 | Donna Slas | Pharmacist | 1050 Ogden Ave, Montgomery, IL 60538-5404 | 2020-10-28 |
| 1073137451 | Sara Omar Nimer | Pharmacist | 2301 E 93rd St, Chicago, IL 60617-3913 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.