Provider Demographics
NPI:1811591977
Name:BOROWSKA, MARTA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARTA
Middle Name:
Last Name:BOROWSKA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 W LAKE ST
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-1174
Mailing Address - Country:US
Mailing Address - Phone:630-285-0159
Mailing Address - Fax:
Practice Address - Street 1:1400 W LAKE ST
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-1174
Practice Address - Country:US
Practice Address - Phone:630-285-0159
Practice Address - Fax:630-285-8104
Is Sole Proprietor?:No
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051291218183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist