Dr Harry Robert Borovik, MD | |
1000 Health Center Dr Ste 401, Mattoon, IL 61938-4648 | |
(217) 258-2409 | |
(217) 258-2323 |
Full Name | Dr Harry Robert Borovik |
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Gender | Male |
Speciality | Otolaryngology |
Location | 1000 Health Center Dr Ste 401, Mattoon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780767681 | NPI | - | NPPES |
0280198 | Other | MI | BCBS |
1850468 | Medicaid | MI | |
383381206 | Other | MI | PRIORITY HEALTH TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | HB052140 (Michigan) | Secondary |
207Y00000X | Otolaryngology | 036067098 (Illinois) | Primary |
Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
Mailing Address | Practice Location Address |
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Dr Harry Robert Borovik, MD 12679 S West Bay Shore Dr, Traverse City, MI 49684-5271 Ph: (231) 499-6882 | Dr Harry Robert Borovik, MD 1000 Health Center Dr Ste 401, Mattoon, IL 61938-4648 Ph: (217) 258-2409 |
Lori Cudone, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Michael Smith, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Dr. Sandra Lynn Ettema, M.D., PH.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 |