Gustavo Da Silva Borba, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

125.083568 Issued in IL

Practice address

1500 South Fairfield Avenue
Suite F-908
Chicago, IL 60608-1782

Phone

(773) 257-5701

Fax

(773) 257-6027

NPI assigned

Jun 3, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1164263349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 SOUTH BLUE ISLAND AVENUE",
            "address_2": "APT 616",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082293",
            "telephone_number": "773-257-5701",
            "fax_number": "773-257-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SOUTH FAIRFIELD AVENUE",
            "address_2": "SUITE F-908",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081782",
            "telephone_number": "773-257-5701",
            "fax_number": "773-257-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA SILVA BORBA",
        "first_name": "GUSTAVO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.083568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Rafael Da Fonseca, M.D
• Carla Luisa Da Goia Pinto, MBBS
• Da Helper Homecare LLC
• Tony Goncalves Da Lomba, MD
• Eduardo Da Rocha Favre Drummond, MD
• Vinicius Jose Da Silva Moreira, MD
• Angela Cristiane Da Silva, MD
• Davi Eric Da Silva, MD
• Joseph Dababneh, O.D.
• Al-Awwab Mohammad Dabaliz

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.