Active NPI
Mary Borta
- Surgical Assistant
- Barrington, IL
National Provider Identifier
1932586278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 238000446
- Practice address
- 27750 W Highway 22
Suite 130
Barrington, IL 60010-2379 - Phone
- (847) 381-6051
- Fax
- (847) 381-6084
- NPI assigned
- May 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 238000446 | IL | Primary |
Addresses
Primary practice location
27750 W Highway 22
Suite 130
Barrington, IL 60010-2379
Mailing address
27750 W Highway 22
Suite 130
Barrington, IL 60010
Phone (847) 381-6051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238000446 | IL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1932586278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27750 W HIGHWAY 22",
"address_2": "SUITE 130",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "60010",
"telephone_number": "847-381-6051",
"fax_number": "847-381-6084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27750 W HIGHWAY 22",
"address_2": "SUITE 130",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600102379",
"telephone_number": "847-381-6051",
"fax_number": "847-381-6084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORTA",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-06",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238000446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.