Borges-Young, Simone Wall
Borges-Young, Simone Wall is an individual health care provider with primary practice located at 1100 E Lincolnshire Blvd Suite 200, Springfield IL 62703-5949. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Borges-Young, Simone Wall can be contacted via phone (217) 789-1403.Contact Information
Primary practice address
1100 E Lincolnshire Blvd Suite 200
Springfield IL 62703-5949
Phone: (217) 789-1403
Fax: (217) 529-1729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036091751 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036091751 | Illinois |
Profile Details
| NPI number | 1871554915 |
|---|---|
| LBN Legal business name | Borges-Young, Simone Wall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jul 21st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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