Roland Anthony Borrasi, MD
Individual provider Active NPI Internal Medicine Physician · Willowbrook, IL
NPI 1407926702 · NPPES record last updated Jul 8, 2007
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 20, 2010.
Key facts
- NPI
- 1407926702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Practice address
- 15 W 720 89TH
Willowbrook, IL 60527 - Phone
- (815) 886-8037
- Fax
- (815) 886-3392
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036071469 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Community Hospital Association | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IL | Yes |
Addresses
Primary practice location
15 W 720 89TH
Willowbrook, IL 60527
Mailing address
15 West 720 89TH Street
Willowbrook, IL 60527
Phone (815) 886-8037
Other providers in Willowbrook, IL
- Bodyfocus PC
- Miriam K Boeing
- Janis Boerman
- Tiana Bonds-Marshall
- Ashley M Borgman
- Brian Patrick Boyd
- Eron Bozec
- Dana Bozeday
- Alexis Brown-Doane
- Fusun Enisa Brown
All providers in Willowbrook, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.