John Steven Borello, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Practice address

45 S Park Blvd
Suite 222
Glen Ellyn, IL 60137-6280

Phone

(630) 469-6609

Fax

(630) 942-0467

NPI assigned

Nov 12, 2006

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629149752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S PARK BLVD",
            "address_2": "SUITE 222",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376280",
            "telephone_number": "630-469-6609",
            "fax_number": "630-942-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S PARK BLVD",
            "address_2": "SUITE 222",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376280",
            "telephone_number": "630-469-6609",
            "fax_number": "630-942-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORELLO",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BKD Personal Assistance Services LLC
• Board of Education District 41
• Lisa Marie Bodnar, LPC
• Lisa Anne Bong, LCSW
• Stephanie Lynn Booton, ATC/L
• Katherine Marie Borello, D.D.S
• Brian Peter Borger
• Susan Elizabeth Botts, LMFT
• Courtney Erin Bowman, LCPC
• Kyle A. Boyd, M.D.

• Periodontics in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.