Dr Robert J Born, DPM | |
1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 | |
(217) 383-7676 | |
(217) 383-4910 |
Full Name | Dr Robert J Born |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 1802 S. Mattis Avenue, Champaign, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134170590 | NPI | - | NPPES |
016-003180 | Medicaid | IL | |
0533210001 | Other | IL | DMERC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 016-003180 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Robert J Born, DPM P.o. Box 6002, Urbana, IL 61803-6002 Ph: (217) 326-8300 | Dr Robert J Born, DPM 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 Ph: (217) 383-7676 |
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